Active NPI
Jennifer Jill Pernelli
- Psychoanalyst
- Mt Pleasant, PA
National Provider Identifier
1225611643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychoanalyst
- Practice address
- 111 Mayapple LN
Mt Pleasant, PA 15666-2484 - Phone
- (724) 880-5706
- NPI assigned
- May 3, 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 |
|---|---|---|---|---|
| Psychoanalyst | 102L00000X | Primary |
Addresses
Primary practice location
111 Mayapple LN
Mt Pleasant, PA 15666-2484
Mailing address
111 Mayapple LN
Mt Pleasant, PA 15666-2484
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620000000000",
"number": "1225611643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 MAYAPPLE LN",
"city": "MT PLEASANT",
"state": "PA",
"postal_code": "156662484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 MAYAPPLE LN",
"city": "MT PLEASANT",
"state": "PA",
"postal_code": "156662484",
"telephone_number": "724-880-5706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERNELLI",
"first_name": "JENNIFER",
"middle_name": "JILL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-03",
"last_updated": "2021-05-03",
"certification_date": "2021-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "102L00000X",
"taxonomy_group": "",
"desc": "Psychoanalyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mt Pleasant, PA
- Pease of Mind Solutions
- Desiree Pease, LPN
- Penn Neuromuscular Diagnostics, LLC (PNDx)
- Penn Neuromuscular Diagnostics, LLC (PNDx)
- Pennsylvania CVS Pharmacy LLC (CVS Pharmacy # 04089)
- Kaitlin Pfeifer, COTA/L
- Le Pham
- Phoenix Rehabilitation and Health Services, Inc
- Thomas W Pifferetti, M.D.
- Misty Lee Piper
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.