Jaime E Inclan PHD P C

Primary specialty

PsychologistTaxonomy code 103T00000X

License

006997-1 Issued in NY

Legal business name

JAIME E INCLAN PHD P C

Practice address

85 5TH Ave
Suite 901
New York, NY 10003-3019

Phone

(212) 741-3448

NPI assigned

May 13, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Shawn Ekwall

Title

Assistant to Dr. Inclan

Phone

(212) 387-7433

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jaime Inclan PC Other name

Locations

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

{
    "created_epoch": "1242172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242172800000",
    "number": "1528292984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 E 13TH ST",
            "address_2": "ATTN: SHAWN EKWALL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100093519",
            "telephone_number": "212-387-7400",
            "fax_number": "212-387-7432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 5TH AVE",
            "address_2": "SUITE 901",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033019",
            "telephone_number": "212-741-3448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAIME E INCLAN PHD P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-13",
        "last_updated": "2009-05-13",
        "status": "A",
        "authorized_official_last_name": "EKWALL",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "ASSISTANT TO DR. INCLAN",
        "authorized_official_telephone_number": "212-387-7433",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "NY",
            "license": "006997-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYC PSYCHOLOGY LISCENSE",
            "identifier": "006997-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jaime Inclan PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Stefan Jahng, MD
• Vanessa Jahnke, ED.M, B.ED.
• Fatema Jahra, PA
• Caren Jahre, MD
• Rohini Jaikaran, NP
• Sandra del Pilar Jaime Torres, MS/SLP
• Jaime Yun M.D, PC
• Rosario Berenice Jaime-Lara, RN
• Sara Jaime, DO
• Edgar A Jaimes, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2009; 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.