Jessica Koblenz, PSYD, PLLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

JESSICA KOBLENZ, PSYD, PLLC

Doing business as

Cornerstone Psychological Services

Practice address

3801 23Rd Ave Ste 306
Astoria, NY 11105-1978

Phone

(516) 725-5551

NPI assigned

Nov 5, 2019

Organization subpart

No

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

Authorized official

Name

Jessica Koblenz, PSYD

Title

Psychologist III

Phone

(516) 725-5551

Specialties & licenses 1

Addresses

Other names 1

• Cornerstone Psychological Services Doing business as

Locations

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

{
    "created_epoch": "1572912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572912000000",
    "number": "1235773086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 23RD AVE STE 306",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111051978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 23RD AVE STE 306",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111051978",
            "telephone_number": "516-725-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA KOBLENZ, PSYD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-05",
        "last_updated": "2019-11-05",
        "status": "A",
        "authorized_official_last_name": "KOBLENZ",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "PSYCHOLOGIST III",
        "authorized_official_telephone_number": "516-725-5551",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cornerstone Psychological Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael J. Jean, M.A.
• Francois Jeanty, RPA
• Jeffrey Sandhaus, M.D., P.C.
• Laurell Jeffrey, OT
• Harold L Jennings Jr., EDD
• Jessica Scott, LMHC
• Saidu Jimoh, RPA
• John Joannow, M.D.
• Melanie Joannow
• John a. Pilavas MD PLLC

• Psychologist in Astoria, NY
• Providers in Astoria, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; 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.