Jennifer Lynn Cole-Pucci, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS019452 Issued in PA

Practice address

1518 Walnut St Ste 307
Philadelphia, PA 19102-3402

Phone

(215) 625-9655

NPI assigned

Nov 6, 2021

Last updated

Nov 9, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Dr. Robin Lowey & Associates LLC

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  • Philadelphia, PA
  • NPI 1912979857
  NPD
• Dr. Robin Lowey & Associates Psychological Services

  • Clinical Psychologist
  • Philadelphia, PA
  • NPI 1285291567
  NPD
• Rla Assessment and Consultation LLC

  • Psychologist
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  • NPI 1619835360
  NPD (past)

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

{
    "created_epoch": "1636156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1407511231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 N 5TH AVE",
            "city": "BEECH GROVE",
            "state": "IN",
            "postal_code": "461071330",
            "telephone_number": "518-522-5528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1518 WALNUT ST STE 307",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191023402",
            "telephone_number": "215-625-9655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE-PUCCI",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-06",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS019452",
            "primary": true
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "PA",
            "license": "PS019452",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colby Agostinelli, LLC (Philly Couples & Sex Therapy)
• Marc Colby, DDS
• Brenda Colclough
• Sydney Agnes Coldren, MD
• Kalia C. Cole-Avery, CRNP
• Abdul Tejan Cole
• Amanda Elizabeth Cole
• Ashley Kahlil Cole, PA-C, ATC
• Danielle Cole, MA
• Emily Ann Cole

• Clinical Psychologist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; 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.