Bronx Psychology Services, PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

016903 Issued in NY

Legal business name

BRONX PSYCHOLOGY SERVICES, PLLC

Practice address

906 E 180TH St Ste 202
Bronx, NY 10460-1917

Phone

(847) 977-0609

NPI assigned

Sep 5, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Dana Jamal Jackson, PSYD.

Title

Clinical Psychologist/President

Phone

(847) 977-0609

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1378339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378339200000",
    "number": "1194150409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 E 180TH ST STE 202",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104601917",
            "telephone_number": "847-977-0609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 E 180TH ST STE 202",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104601917",
            "telephone_number": "847-977-0609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRONX PSYCHOLOGY SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-05",
        "last_updated": "2013-09-05",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "JAMAL",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST/PRESIDENT",
        "authorized_official_telephone_number": "847-977-0609",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "016903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bronx Psychiatric Center
• Bronx Psychiatric Center
• Bronx Psychiatric Center
• Bronx Psychiatric Center
• Bronx Psychiatric Services PC
• Bronx Pulmonary Center LLC
• Bronx Pulmonary Medical,PLLC
• Bronx Queens Dental Care PC
• Bronx Radiology P.C.
• Bronx Regional High School

• Clinical Psychologist in Bronx, NY
• Providers in Bronx, 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 Sep 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.