Jeltova Psychological Services PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

JELTOVA PSYCHOLOGICAL SERVICES PLLC

Doing business as

Greatest Moments Therapy

Practice address

116 Clinton St # 4
Brooklyn, NY 11201-4204

Phone

(201) 757-0600

NPI assigned

Oct 11, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Ida Jeltova, PHDNPI 1922298421

Title

Clinical Director

Phone

(201) 757-0600

Specialties & licenses 3

Addresses

Other names 1

• Greatest Moments Therapy Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ida Jeltova, PH.D.

  • School Psychologist
  • Ridgewood, NJ
  • NPI 1922298421
  NPD Authorized official

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

{
    "created_epoch": "1728604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728604800000",
    "number": "1396565727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 GLORIA DR",
            "city": "ALLENDALE",
            "state": "NJ",
            "postal_code": "074011335",
            "telephone_number": "201-757-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 CLINTON ST # 4",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112014204",
            "telephone_number": "201-757-0600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 W 88th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100242321",
            "country_code": "US",
            "telephone_number": "201-757-0600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JELTOVA PSYCHOLOGICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-11",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A",
        "authorized_official_last_name": "JELTOVA",
        "authorized_official_first_name": "IDA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "201-757-0600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greatest Moments Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hanna Jelen
• Joanna Jeleniewska Jeleniewska, NURSE PRACTITIONER
• Abraham Jelin, MD
• Samantha Paige Jellinek, PHARM.D., BCPS
• Robert Martin Jellinger, M.D.
• Jem Nyc Consulting LLC
• Danielle Jemal Massry
• Lauren Joy Jemal, REGISTERED DIETITIAN
• Seblewongel A Jemberie, M.D.
• Jemcare, LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; 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.