Active NPI
Jane Wasley, PH.D.
- Clinical Psychologist
- Great Neck, NY
National Provider Identifier
1649364134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6126
- Practice address
- 2 Chestnut Drive
Great Neck, NY 11021 - Phone
- (516) 487-4407
- Fax
- (516) 487-4407
- NPI assigned
- Oct 2, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 006126-1 | NY | |
| Health Service Psychologist | 103TH0100X | 6126 | NY | |
| Clinical Psychologist | 103TC0700X | 6126 | NY | Primary |
Addresses
Primary practice location
2 Chestnut Drive
Great Neck, NY 11021
Mailing address
2 Chestnut Drive
Great Neck, NY 11021
Phone (516) 487-4407
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 |
|---|---|---|---|
| 6126 | NY | MD | Health Service Psychologist |
| 006126-1 | NY | MD | Surgical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1649364134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 CHESTNUT DRIVE",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "11021",
"telephone_number": "516-487-4407",
"fax_number": "516-487-4407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 CHESTNUT DRIVE",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "11021",
"telephone_number": "516-487-4407",
"fax_number": "516-487-4407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WASLEY",
"first_name": "JANE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "006126-1",
"primary": false
},
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "NY",
"license": "6126",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "6126",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Great Neck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.