Individual provider Active NPI

Jessica Jane Englert, PH.D.

  • Clinical Neuropsychologist
  • Williamsville, NY
National Provider Identifier
1376852715
Registry record updated Feb 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
68018671 Issued in NY
Practice address
8616 Main St
Ste 2
Williamsville, NY 14221-7461
Phone
(716) 634-0627
Fax
(716) 634-0746
NPI assigned
Oct 4, 2010
Last updated
Feb 19, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 68018671 NY Primary

Addresses

Primary practice location

8616 Main St
Ste 2
Williamsville, NY 14221-7461

Mailing address

8616 Main St
Ste 2
Williamsville, NY 14221-7461
Phone (716) 634-0627

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120705000156 NY Practitioner - Clinical Psychologist 7810177946 Reassigns benefits to 1 organization
Practice locations: Williamsville, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
State University of New York at Buffalo School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8616 Main St
Suite 2
Williamsville, NY 14221-7461
Phone (716) 634-0627

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
68018671NYMDClinical Neuropsychologist
9285MAMDMassage Therapist
018671NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Buffalo Behavioral Psychology, PC Clinical Neuropsychologist CurrentSince Aug 23, 2015 Accepting new patients
Commonwealth Psychology Associates Clinical Neuropsychologist Past Accepting new patients

Locations

2813 Wehrle Dr
Ste 11
Williamsville, NY 14221
Phone (716) 249-4706

8616 Main St
Ste 2
Williamsville, NY 14221
Phone 71620401002

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GIJJAD/Endpoint/GIJJAD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1286150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550534400000",
    "number": "1376852715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8616 MAIN ST",
            "address_2": "STE 2",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217461",
            "telephone_number": "716-634-0627",
            "fax_number": "716-634-0746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8616 MAIN ST",
            "address_2": "STE 2",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217461",
            "telephone_number": "716-634-0627",
            "fax_number": "716-634-0746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGLERT",
        "first_name": "JESSICA",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-04",
        "last_updated": "2019-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NY",
            "license": "68018671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.