Individual provider Active NPI

Stacy Jaikaran, MA

  • School Psychologist
  • Ossining, NY
National Provider Identifier
1285039370
Registry record updated Oct 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
885311141 Issued in NY
Practice address
117 S Highland Ave Apt 4B
Ossining, NY 10562-5837
Phone
(646) 262-2235
NPI assigned
Oct 31, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 885311141 NY Primary

Addresses

Primary practice location

117 S Highland Ave Apt 4B
Ossining, NY 10562-5837

Mailing address

117 S Highland Ave Apt 4B
Ossining, NY 10562-5837
Phone (646) 262-2235

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
885311141NYMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1414713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414713600000",
    "number": "1285039370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 S HIGHLAND AVE APT 4B",
            "city": "OSSINING",
            "state": "NY",
            "postal_code": "105625837",
            "telephone_number": "646-262-2235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 S HIGHLAND AVE APT 4B",
            "city": "OSSINING",
            "state": "NY",
            "postal_code": "105625837",
            "telephone_number": "646-262-2235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAIKARAN",
        "first_name": "STACY",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-31",
        "last_updated": "2014-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NY",
            "license": "885311141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ossining, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2014; 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.