Active NPI
Jiaqi Zhou
- Clinical Psychologist
- New York, NY
National Provider Identifier
1669389888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 025120
- Practice address
- 220 5TH Ave FL 11
New York, NY 10001 - Phone
- (315) 961-8105
- NPI assigned
- Aug 25, 2026
- Sex
- Unspecified or another gender identity
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 025120 | NY | Primary |
Addresses
Primary practice location
220 5TH Ave FL 11
New York, NY 10001
Mailing address
2935 W 5TH St
Brooklyn, NY 11224
Phone (315) 961-8105
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788134400000",
"number": "1669389888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2935 W 5TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11224",
"telephone_number": "315-961-8105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 5TH AVE FL 11",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10001",
"telephone_number": "315-961-8105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZHOU",
"first_name": "JIAQI",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2026-08-25",
"last_updated": "2026-08-31",
"certification_date": "2026-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "025120",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.