Jacqueline Mulone, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

0168921 Issued in NY

Practice address

280 Madison Ave
Suite 1403
New York, NY 10046-0001

Phone

(917) 519-5475

NPI assigned

Oct 6, 2006

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

Other names 1

• Jacqueline Lozano Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 24, 2015 through Jul 24, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720175482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 09 43RD AVENUE",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612424",
            "telephone_number": "718-281-0564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 MADISON AVE",
            "address_2": "SUITE 1403",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100460001",
            "telephone_number": "917-519-5475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULONE",
        "first_name": "JACQUELINE",
        "name_prefix": "Mrs.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "0168921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "LOZANO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Robert Mullis, LCSW
• Lucy Mullman, LCSW
• Avner Cohen Mullokandov, DDS
• Gregory Mullokandov
• Oksana Mullokandova
• Stephen M. Mulrooney, M.D.,F.A.C.G
• James Joseph Mulry Jr., LCSW
• Robert Barrett Mulry
• Ryan Mulry, M.D.
• Carolyn Mulryan, N.P

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.