Village Psychology PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

VILLAGE PSYCHOLOGY PLLC

Practice address

300 Mercer St Ste PHB
New York, NY 10003-6724

Phone

(773) 354-4070

Fax

(844) 740-0164

NPI assigned

Dec 14, 2022

Organization subpart

No

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

Authorized official

Name

Katherine Jenness, PHDNPI 1114317682

Title

Owner

Phone

(773) 354-4070

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Katherine Jenness, PHD

  • Clinical Psychologist
  • New York, NY
  • NPI 1114317682
  NPD Authorized official

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

{
    "created_epoch": "1670976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670976000000",
    "number": "1417669185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MERCER ST STE PHB",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100036724",
            "telephone_number": "773-354-4070",
            "fax_number": "844-740-0164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MERCER ST STE PHB",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100036724",
            "telephone_number": "773-354-4070",
            "fax_number": "844-740-0164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE PSYCHOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-14",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A",
        "authorized_official_last_name": "JENNESS",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-354-4070",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Village Ophthalmology PC
• Village Optical, Corp (Cohen's Fashion Optical)
• Village Park Medical, PC
• Village Pharmacy Corp (Village Apothecary)
• Village Primary Care LLP
• Village Psychotherapy LCSW LLC
• Village Senior Services Corporation (VillageCareMAX)
• Villagetms LLC
• Seagram Miguel Villagomez, M.D.
• Nancy Villagran, PT

• Clinical Psychologist in New York, NY
• Providers in New York, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; 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.