Active NPI
Jeffrey Alan Vernon, DO
- Student in an Organized Health Care Education/Training Program
- Seneca Falls, NY
National Provider Identifier
1376786004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 34.015473
- Practice address
- 41 Spring St
Seneca Falls, NY 13148-2021 - Phone
- (917) 725-0762
- Fax
- (905) 963-1689
- NPI assigned
- Apr 10, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 252671 | NY | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 34.015473 | OH | Primary |
Addresses
Primary practice location
41 Spring St
Seneca Falls, NY 13148-2021
Mailing address
1 W 4TH St Apt 1406
Cincinnati, OH 45202-3856
Phone (917) 725-0762
Other practice location 1
1 W 4th St Apt 1406
Cincinnati, OH 45202-3856
Phone (917) 725-0762
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250422000364 | OH | Order and Referring Only - Neurology | 1052447109 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jeffrey a Vernon, DO, PLLC | Psychiatry | Current | Accepting new patients |
| Westchester Faculty Psychological Associates PC | Past | Accepting new patients |
Locations
140 Route 303
Vly Cottage, NY 10989
Phone (845) 267-2172
Interoperability endpoints
- jvernon667174@nychhc.direct-ci.com
Organizations & group practices 2
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.
-
- Psychiatry Physician
- Seneca Falls, NY
- NPI 1912775115
-
- Psychologist
- Valhalla, NY
- NPI 1528080603
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782777600000",
"number": "1376786004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 W 4TH ST APT 1406",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452023856",
"telephone_number": "917-725-0762",
"fax_number": "905-963-1689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 SPRING ST",
"city": "SENECA FALLS",
"state": "NY",
"postal_code": "131482021",
"telephone_number": "917-725-0762",
"fax_number": "905-963-1689"
}
],
"practiceLocations": [
{
"address_1": "1 W 4th St Apt 1406",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452023856",
"country_code": "US",
"telephone_number": "917-725-0762",
"fax_number": "905-963-1689",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VERNON",
"first_name": "JEFFREY",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-04-10",
"last_updated": "2026-06-30",
"certification_date": "2026-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "252671",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "OH",
"license": "34.015473",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seneca Falls, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.