Active NPI
Jill M Emanuele, PHD
- Psychologist
- New York, NY
National Provider Identifier
1215007422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 015705
- Practice address
- 34 W 27TH St FL 12
New York, NY 10001-6949 - Phone
- (917) 397-0549
- NPI assigned
- Nov 8, 2006
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 015705 | NY | Primary |
Addresses
Primary practice location
34 W 27TH St FL 12
New York, NY 10001-6949
Mailing address
501 W 123Rd St Apt 18H
New York, NY 10027-5011
Phone (917) 397-0549
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015705 | NY | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montefiore Medical Center | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1063525152
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739750400000",
"number": "1215007422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 W 123RD ST APT 18H",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100275011",
"telephone_number": "917-397-0549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 W 27TH ST FL 12",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100016949",
"telephone_number": "917-397-0549"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EMANUELE",
"first_name": "JILL",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-08",
"last_updated": "2025-02-17",
"certification_date": "2025-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "015705",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
- Harriett C. Emanuel-Boone, TEACHER
- Amina Rosalie Emanuel, NP
- David L. Emanuel, M.D.
- Patrick Oliver Emanuel, MD
- Emanuela Corielli DDS, PC (Bright Healthy Smiles)
- Emily Emanuelson, PA-C
- Ember Integrative Care NP in Psychiatry and Family Health PLLC
- Rachel Emberling, LMHC
- George Peter Embiricos, LCSW, CPTT
- Emblemhealth Services Company (EmblemHealth Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.