Individual provider Active NPI

Jessica Ann Gerson, PHD

  • Clinical Psychologist
  • New York, NY
National Provider Identifier
1346308996
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
014043 Issued in NY
Practice address
305 E 33Rd St
New York, NY 10016-9401
Phone
(855) 698-4232
NPI assigned
Dec 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 014043 NY Primary

Addresses

Primary practice location

305 E 33Rd St
New York, NY 10016-9401

Mailing address

421 Avenue C
Apt 3a
Brooklyn, NY 11218
Phone (718) 222-1824

Other practice location 1

120 Remsen St
Suite A
Brooklyn, NY 11201
Phone (718) 906-2908

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jgerson284310@nyumc.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Mar 11, 2019 Accepting new patients
New York University CurrentSince Mar 11, 2019 Accepting new patients
Maimonides Medical Center Current Accepting new patients
Safe Horizon Inc Past Accepting new patients

Locations

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

305 E 33rd St
New York, NY 10016
Phone (212) 263-3030

Interoperability endpoints

  • Direct secure messaging: jessicagerson@mai.allscriptsdirect.net
  • Direct secure messaging: jgerson284310@nyumc.direct-ci.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1346308996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 AVENUE C",
            "address_2": "APT 3A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11218",
            "telephone_number": "718-222-1824",
            "fax_number": "212-562-5518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 E 33RD ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100169401",
            "telephone_number": "855-698-4232"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Remsen St",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "11201",
            "country_code": "US",
            "telephone_number": "718-906-2908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GERSON",
        "first_name": "JESSICA",
        "middle_name": "ANN",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "014043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jgerson284310@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "305 E 33rd St",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100169401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.