Active NPI
Jaya Save-Mundra, PSY.D.
- Clinical Psychologist
- Lagrangeville, NY
National Provider Identifier
1669644332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 015774
- Practice address
- 1110 Route 55
Suite 201
Lagrangeville, NY 12540-5045 - Phone
- (585) 615-9146
- Fax
- (585) 334-0208
- NPI assigned
- Apr 2, 2008
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 015774 | NY | Primary |
Addresses
Primary practice location
1110 Route 55
Suite 201
Lagrangeville, NY 12540-5045
Mailing address
19 Thames Rd
Poughkeepsie, NY 12603-6832
Phone (585) 615-9146
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015774 | NY | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J&a Psychological Group, PLLC | Current | Accepting new patients | |
| Mental Health Specialty Group PA | Current | Accepting new patients |
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
Organizations & group practices 4
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.
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- Poughkeepsie, NY
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- NPI 1750469912
-
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- Valhalla, NY
- NPI 1912131392
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340582400000",
"number": "1669644332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 THAMES RD",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126036832",
"telephone_number": "585-615-9146",
"fax_number": "585-334-0208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 ROUTE 55",
"address_2": "SUITE 201",
"city": "LAGRANGEVILLE",
"state": "NY",
"postal_code": "125405045",
"telephone_number": "585-615-9146",
"fax_number": "585-334-0208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAVE-MUNDRA",
"first_name": "JAYA",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-02",
"last_updated": "2012-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "015774",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lagrangeville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.