Active NPI
Jag Psychology PC
- Psychologist
- White Plains, NY
National Provider Identifier
1386948420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Legal business name
- JAG PSYCHOLOGY PC
- Practice address
- 180 S Broadway Ste 202
White Plains, NY 10605-1820 - Phone
- (914) 414-2253
- Fax
- (914) 214-8476
- NPI assigned
- Jan 4, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jennifer Gullesserian Straley, PH.D.
- Title
- Psychologist
- Phone
- (914) 414-2253
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
180 S Broadway Ste 202
White Plains, NY 10605-1820
Mailing address
180 S Broadway Ste 202
White Plains, NY 10605-1820
Phone (914) 414-2253
Other practice location 1
2157 North Ave
Bridgeport, CT 06604-2438
Phone (917) 689-1285
National Provider Directory
National Provider DirectoryLocations
180 S Broadway
Ste 202
White Plains, NY 10605
Phone (914) 414-2253
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychologist
- White Plains, NY
- NPI 1992986566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294099200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1566259200000",
"number": "1386948420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 S BROADWAY STE 202",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106051820",
"telephone_number": "914-414-2253",
"fax_number": "914-214-8476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 S BROADWAY STE 202",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106051820",
"telephone_number": "914-414-2253",
"fax_number": "914-214-8476"
}
],
"practiceLocations": [
{
"address_1": "2157 North Ave",
"address_purpose": "LOCATION",
"city": "Bridgeport",
"state": "CT",
"postal_code": "066042438",
"country_code": "US",
"telephone_number": "917-689-1285",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "JAG PSYCHOLOGY PC",
"organizational_subpart": "NO",
"enumeration_date": "2011-01-04",
"last_updated": "2019-08-20",
"status": "A",
"authorized_official_last_name": "GULLESSERIAN STRALEY",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "PSYCHOLOGIST",
"authorized_official_telephone_number": "914-414-2253",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in White Plains, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.