Individual provider Active NPI

Jennifer Ann Monescalchi, PH.D.

  • Clinical Psychologist
  • Utica, NY
National Provider Identifier
1376777367
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
018603-01 Issued in NY
Practice address
122 Business Park Dr Ste 1
Utica, NY 13502-6321
Phone
(315) 732-3431
Fax
(866) 822-2343
NPI assigned
May 6, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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 018603-01 NY Primary

Addresses

Primary practice location

122 Business Park Dr Ste 1
Utica, NY 13502-6321

Mailing address

122 Business Park Dr Ste 1
Utica, NY 13502-6321
Phone (315) 732-3431

Other names 1

  • Dr. Jennifer Ann Tesak Other name

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
018603-01NYMDClinical Psychologist
018603NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
ADHD & Autism Advocates Clinical Past Accepting new patients

Organizations & group practices 1

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": "1241568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1376777367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 BUSINESS PARK DR STE 1",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135026321",
            "telephone_number": "315-732-3431",
            "fax_number": "866-822-2343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 BUSINESS PARK DR STE 1",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135026321",
            "telephone_number": "315-732-3431",
            "fax_number": "866-822-2343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONESCALCHI",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-06",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "018603-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "TESAK",
            "middle_name": "ANN",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Utica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; 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.