Jennifer Ann Darakjy, PH.D

Primary specialty

Prescribing (Medical) PsychologistTaxonomy code 103TP0016X

License

0049C Issued in NM

Practice address

5300 McNutt Rd
Suite 12
Santa Teresa, NM 88008-9606

Phone

(915) 588-0223

Fax

(915) 231-6111

NPI assigned

Mar 27, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521504000000",
    "number": "1326380445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 MCNUTT ROAD",
            "address_2": "SUITE 12",
            "city": "SANTA TERESA",
            "state": "NM",
            "postal_code": "880089438",
            "telephone_number": "575-332-9138",
            "fax_number": "915-231-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 MCNUTT RD",
            "address_2": "SUITE 12",
            "city": "SANTA TERESA",
            "state": "NM",
            "postal_code": "880089606",
            "telephone_number": "915-588-0223",
            "fax_number": "915-231-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARAKJY",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-27",
        "last_updated": "2018-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "36433",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NM",
            "license": "1267",
            "primary": false
        },
        {
            "code": "103TP0016X",
            "taxonomy_group": "",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "NM",
            "license": "0049C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Cosio
• Jennifer C Croom, OTR
• Ariel Cruz Talamantes
• Joshua Alexander Cruz
• Polly Curtis
• Maria De Jesus Fraire
• Melina De la Cruz
• Janette De la O
• Berenice De Santiago
• Scott Del Oso

• Prescribing (Medical) Psychologist in Santa Teresa, NM
• Providers in Santa Teresa, NM by specialty
• Prescribing (Medical) Psychologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2018; 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.