Active NPI
Anna Maria Jankowska, PHD
- Clinical Psychologist
- New York, NY
National Provider Identifier
1184298275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 024222
- Practice address
- 928 Broadway Ste 1105
New York, NY 10010-8111 - Phone
- (917) 496-5772
- NPI assigned
- May 13, 2021
- Last updated
- May 13, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 024222 | NY | Primary |
Addresses
Primary practice location
928 Broadway Ste 1105
New York, NY 10010-8111
Mailing address
185 Greenpoint Ave Apartment 3L
Brooklyn, NY 11222
Phone (925) 428-7027
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 024222 | NY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620864000000",
"number": "1184298275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "185 GREENPOINT AVE APARTMENT 3L",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11222",
"telephone_number": "925-428-7027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "928 BROADWAY STE 1105",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100108111",
"telephone_number": "917-496-5772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANKOWSKA",
"first_name": "ANNA",
"middle_name": "MARIA",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-13",
"last_updated": "2021-05-13",
"certification_date": "2021-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "024222",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.