Jessica Mishali

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

397 Bridge St FL 7
Brooklyn, NY 11201-5247

Phone

(516) 655-1253

NPI assigned

Apr 2, 2020

Reactivated

Oct 14, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1585785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602633600000",
    "number": "1578192563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "397 BRIDGE ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "397 BRIDGE ST FL 7",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015247",
            "telephone_number": "516-655-1253"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "902 Broadway",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100106002",
            "country_code": "US",
            "telephone_number": "888-773-3936",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MISHALI",
        "first_name": "JESSICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-02",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "deactivation_date": "2020-04-03",
        "reactivation_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Misell
• Daniell Jason Mishaan, DMD
• Jonah Mishaan
• Gidon Mishael
• Yeva Mishailov
• Nicole Mishali
• Daniel Mishiyev, PA-C
• Oksana Mishiyeva, PHARMD
• Elina Mishkovich
• Mishpakha Inc

• Clinical Social Worker in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; 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.