Sandra Jascolky, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

010583-1 Issued in NY

Practice address

80 Wall St
Suite 1001
New York, NY 10005-3601

Phone

(212) 363-5763

Fax

(212) 363-1651

NPI assigned

Mar 20, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Specialty

Clinical Psychologist

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154446342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 WALL ST",
            "address_2": "SUITE 1001",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100053601",
            "telephone_number": "212-363-5763",
            "fax_number": "212-363-1651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 WALL ST",
            "address_2": "SUITE 1001",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100053601",
            "telephone_number": "212-363-5763",
            "fax_number": "212-363-1651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASCOLKY",
        "first_name": "SANDRA",
        "name_prefix": "Mrs.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "010583-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcia Jarvis, PMHNP
• Nigel Jarvis Jr., DPT
• Thomas Ross Jarvis, M.D.
• Vincent N Jarvis
• Reena Paresh Jasani, MD, MPH
• Hanna Jasemi
• Muatasem Jaser
• Neil Nathaniel Jasey Jr., M.D.
• Lisa Jasienowski
• Sonja M Jasienowski, MS, OTR/L

• Clinical Psychologist in New York, NY
• Providers in New York, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.