Active NPI
Jennifer Brody, PSY.D.
- Psychologist
- Poughkeepsie, NY
National Provider Identifier
1639650096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 022604
- Practice address
- 46 Lincoln Ave
Poughkeepsie, NY 12601-4518 - Phone
- (845) 471-6004
- NPI assigned
- Aug 23, 2018
- 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 | 022604 | NY | Primary |
Addresses
Primary practice location
46 Lincoln Ave
Poughkeepsie, NY 12601-4518
Mailing address
16 Mussey St Apt 301
South Portland, ME 04106-2035
Phone (207) 475-4398
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 022604 | NY | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534982400000",
"number": "1639650096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 MUSSEY ST APT 301",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041062035",
"telephone_number": "207-475-4398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46 LINCOLN AVE",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126014518",
"telephone_number": "845-471-6004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRODY",
"first_name": "JENNIFER",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-23",
"last_updated": "2018-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "022604",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Poughkeepsie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.