Jeffery M. Pomerantz, PH.D.

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

7390 Issued in NY

Practice address

35 Crooked Hill Rd
Suite 102
Commack, NY 11725-5415

Phone

(631) 462-0994

Fax

(631) 730-4842

NPI assigned

Jan 12, 2007

Sex

Male

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215087010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 HARMONY RD",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432315",
            "telephone_number": "631-462-0994",
            "fax_number": "631-730-4842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 CROOKED HILL RD",
            "address_2": "SUITE 102",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117255415",
            "telephone_number": "631-462-0994",
            "fax_number": "631-730-4842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POMERANTZ",
        "first_name": "JEFFERY",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NY",
            "license": "7390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stuart Barry Polisner, MD
• David L Pollack, D.C.
• Thomas Joseph Pollet, DC
• Lindsay Ann Pollock, M.S SPECIAL EDUC
• Jacee Meryll Polo, PT
• Jesika Ponce, MED
• Robert Popp, LMHC
• Theresa Michelle Porcellini, MS
• Cristina Porchetta, LMHC
• Philip Charles Portanova, B.S.

• Clinical Child & Adolescent Psychologist in Commack, NY
• Providers in Commack, NY by specialty
• Clinical Child & Adolescent 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.