Individual provider Active NPI

Jennifer Lauren Isaacs, PSYD

  • Psychologist
  • New York, NY
National Provider Identifier
1396517462
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
026015-01 Issued in NY
Practice address
825 7TH Ave FL 6
New York, NY 10019-6014
Phone
(212) 696-1550
NPI assigned
Oct 23, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 026015-01 NY Primary

Addresses

Primary practice location

825 7TH Ave FL 6
New York, NY 10019-6014

Mailing address

825 7TH Ave FL 6
New York, NY 10019-6014
Phone (347) 452-7437

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
I20240719001035 NY Practitioner - Clinical Psychologist 0648716282 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Alternatives for Children IncGroup PAC ID 7012211022, 9 clinicians

Practice addresses (Care Compare)

37 W 26TH St
FL 6
New York, NY 10010-1058
Phone (646) 352-9068

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
026015-01NYMDPsychologist
026015NYMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
New Alternatives for Children Inc. CurrentSince Jul 1, 2024 Accepting new patients
New Alternatives for Children, Inc. PastSince Jul 1, 2024 Accepting new patients

Locations

37 W 26th St
Fl 6
New York, NY 10010
Phone (212) 696-1550

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.

NPI Registry JSON

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

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1396517462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 7TH AVE FL 6",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100196014",
            "telephone_number": "347-452-7437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 7TH AVE FL 6",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100196014",
            "telephone_number": "212-696-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISAACS",
        "first_name": "JENNIFER",
        "middle_name": "LAUREN",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-23",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "026015-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.