Jenelle Anntonette Craig

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

1152511171 Issued in NY

Practice address

9 Paerdegat 12TH St
Brooklyn, NY 11236-4119

Phone

(347) 221-8476

NPI assigned

Jul 28, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1501200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1346764610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 E 14TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353979",
            "telephone_number": "718-769-2698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 PAERDEGAT 12TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112364119",
            "telephone_number": "347-221-8476"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2625 E 14th St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112353979",
            "country_code": "US",
            "telephone_number": "718-769-2698",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRAIG",
        "first_name": "JENELLE",
        "middle_name": "ANNTONETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-28",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NY",
            "license": "1152511171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deja Craig-Lucien
• Ariel Craig
• Brittany P Craig, RD
• Carla Craig
• Jami Marie Craig, M.A.
• Robin Craig, DDS
• Sandra Cortel Craig
• Natalie Craigg
• Chanah Cramer
• Gill Terry Cramer, LCSW

• School Psychologist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• School Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.