Active NPI
Linda A. Jenkins, LCSW-R, PSYD, PHD
- Psychoanalyst
- Queens Village, NY
National Provider Identifier
1528283595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychoanalyst
- License
- R-046371
- Practice address
- 10323 Springfield Blvd
Queens Village, NY 11429-2050 - Phone
- (718) 977-3762
- Fax
- (718) 525-6902
- NPI assigned
- Apr 16, 2007
- 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 |
|---|---|---|---|---|
| Psychoanalyst | 102L00000X | R-046371 | NY | Primary |
Addresses
Primary practice location
10323 Springfield Blvd
Queens Village, NY 11429-2050
Mailing address
10323 Springfield Blvd
Queens Village, NY 11429-2050
Phone (718) 977-3762
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 135053 | Other | NY | VALUEOPTIONS PROVIDER# |
| 7479339 | Other | NY | GHI PROVIDER # |
| R-046371 | Other | NY | 1199 PROVIDER# |
| N5H31 | Other | NY | BC-BS MEDICARE PROVIDER# |
| P670175 | Other | NY | OXFORD PROVIDER# |
| 7582088 | Other | NY | AETNA PROVIDER # |
| 01719406 | Medicaid | NY | |
| NYS046371 | Other | NY | CARE MANAGEMENT GROUP # |
| R-046371 | Other | NY | CLINICAL SOC. WORK LIC# |
Other names 1
- Dr. Linda A. Jenkins
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R-046371 | NY | MD | Psychoanalyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1528283595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10323 SPRINGFIELD BLVD",
"city": "QUEENS VILLAGE",
"state": "NY",
"postal_code": "114292050",
"telephone_number": "718-977-3762",
"fax_number": "718-525-6902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10323 SPRINGFIELD BLVD",
"city": "QUEENS VILLAGE",
"state": "NY",
"postal_code": "114292050",
"telephone_number": "718-977-3762",
"fax_number": "718-525-6902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS",
"first_name": "LINDA",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "LCSW-R, PSYD, PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-16",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "102L00000X",
"taxonomy_group": "",
"desc": "Psychoanalyst",
"state": "NY",
"license": "R-046371",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUEOPTIONS PROVIDER#",
"identifier": "135053",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI PROVIDER #",
"identifier": "7479339",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "1199 PROVIDER#",
"identifier": "R-046371",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC-BS MEDICARE PROVIDER#",
"identifier": "N5H31",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD PROVIDER#",
"identifier": "P670175",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER #",
"identifier": "7582088",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01719406",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE MANAGEMENT GROUP #",
"identifier": "NYS046371",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLINICAL SOC. WORK LIC#",
"identifier": "R-046371",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LINDA",
"last_name": "JENKINS",
"middle_name": "A.",
"prefix": "DR.",
"credential": "LCSW-R",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Queens Village, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.