Active NPI
Paula Konnor Jorn, PSYD
- Psychologist
- New York, NY
National Provider Identifier
1427470194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 017554-1
- Practice address
- 310 E 44TH St
#916
New York, NY 10017-4422 - Phone
- (732) 822-0425
- Fax
- (646) 649-4042
- NPI assigned
- Jan 14, 2014
- Last updated
- Sep 1, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 017554-1 | NY | Primary |
Addresses
Primary practice location
310 E 44TH St
#916
New York, NY 10017-4422
Mailing address
310 E 44TH St
#916
New York, NY 10017-4422
Phone (732) 822-0425
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017554-1 | NY | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441065600000",
"number": "1427470194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 E 44TH ST",
"address_2": "#916",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100174422",
"telephone_number": "732-822-0425",
"fax_number": "646-649-4042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 E 44TH ST",
"address_2": "#916",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100174422",
"telephone_number": "732-822-0425",
"fax_number": "646-649-4042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORN",
"first_name": "PAULA",
"middle_name": "KONNOR",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-14",
"last_updated": "2015-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "017554-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.