JK Psychological Consulting LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

JK PSYCHOLOGICAL CONSULTING LLC

Practice address

342 Grand Ave
Englewood, NJ 07631-4355

Phone

(917) 434-6631

NPI assigned

Jun 1, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jessica Kornwasser, PSY.D.NPI 1043458862

Title

Licensed Psychologist

Phone

(917) 434-6631

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Kornwasser, PSY.D.

  • Clinical Psychologist
  • Ridgewood, NJ
  • NPI 1043458862
  NPD Authorized official

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

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622505600000",
    "number": "1760058614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "393 EDGEWOOD AVE",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076663024",
            "telephone_number": "917-434-6631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 GRAND AVE",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314355",
            "telephone_number": "917-434-6631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JK PSYCHOLOGICAL CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-01",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A",
        "authorized_official_last_name": "KORNWASSER",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "917-434-6631",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Minaxi Jhawer, MBBS
• Julie Jhin
• Diana Jin, MD
• Jonathan Jin, PT, DPT
• Jisun Cha MD
• Joanne W. Cazeau LLC
• Joann Johnson, PTA
• Joy V Johnson, PHARMD
• Kelly Danielle Johnson, BSN, RNC-MNN, CBC
• Marquis D Johnson

• Community/Behavioral Health Agency in Englewood, NJ
• Providers in Englewood, NJ by specialty
• Community/Behavioral Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; 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.