Jenna McCutchen, EDUCATION SPECIALIST

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

11050 71St Rd Ste 1M
Forest Hills, NY 11375-4972

Phone

(347) 601-4722

NPI assigned

Dec 15, 2022

Sex

Female

Sole proprietor

No

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)

Not enrolled

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

{
    "created_epoch": "1671062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1700598216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 ADRIENNE LN",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117882765",
            "telephone_number": "631-219-6644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11050 71ST RD STE 1M",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754972",
            "telephone_number": "347-601-4722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "46 Adrienne Ln",
            "address_purpose": "LOCATION",
            "city": "Smithtown",
            "state": "NY",
            "postal_code": "117882765",
            "country_code": "US",
            "telephone_number": "631-219-6644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCUTCHEN",
        "first_name": "JENNA",
        "credential": "EDUCATION SPECIALIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-15",
        "last_updated": "2022-12-15",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace McAnally
• John R McAteer, LCSW
• Abigail L McCarthy, BCBA
• Leah S McCormack, MD
• Shelley Jamona McCoy
• Caitlin J McDonagh
• Alyssa Marie McDonald
• Yvonne Bernadette McGeough
• Julia McGregor
• Kiana Cheyenne McKen, PA-C

• Psychologist in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; 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.