Jaclyn Dean Pembleton, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS018637 Issued in PA

Practice address

2443 E Hazzard St
Philadelphia, PA 19125-3112

Phone

(215) 671-6200

NPI assigned

Oct 8, 2018

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)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Equilibria Mental Health Services

  • Community/Behavioral Health Agency
  • Philadelphia, PA
  • NPI 1225792872
  NPD

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

{
    "created_epoch": "1538956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1659846475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2443 E HAZZARD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191253112",
            "telephone_number": "215-671-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2443 E HAZZARD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191253112",
            "telephone_number": "215-671-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEMBLETON",
        "first_name": "JACLYN",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-08",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS018637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Ann Peluso, DO
• Pelvio Physical Therapy
• Brenda A Pemberton
• Lily Kathryn Pemberton, MD
• Brittany Pembleton, RN
• Damaris Elixandra Pena Evertz, M.D.
• Amanda Cecilia Pena, LSW
• Dominga Pena, BS
• Michelle-Marie Pena, M.D.
• Nicolas Andres Pena

• Clinical Psychologist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; 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.