Arlene A Jerez, M.S.

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

1501792211 Issued in NY

Practice address

158 Chester St
Mount Vernon, NY 10552-3204

Phone

(646) 509-5595

NPI assigned

Apr 23, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1303516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1417248535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 CHESTER ST",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105523204",
            "telephone_number": "646-509-5595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 CHESTER ST",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105523204",
            "telephone_number": "646-509-5595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEREZ",
        "first_name": "ARLENE",
        "middle_name": "A",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-23",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "496682111",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "496681111",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": "496682111",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NY",
            "license": "1501792211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jba Women's Medical PC
• La Shawn Renee Jemison, R.N.
• Tawanna Jenkins, SERVICE CORDINATOR
• Carrease Jane Jennings
• Evelyn Jennings, LCSW
• JK Prosthetics and Orthotics
• Joe Williams LCSW, PLLC
• Coby Joe
• John P. Manfedi D.C. P.C. (Advanced Chiropractic Center)
• Brooke Dunne Johnson, LCSW

• School Psychologist in Mount Vernon, NY
• Providers in Mount Vernon, NY by specialty
• School Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.