Jacquelyn Drozdow

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

40 Montgomery St
New York, NY 10002-4808

Phone

(212) 233-5032

NPI assigned

Sep 10, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Thehealthfulltherapy

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Aventura, FL
  • NPI 1588366546
  NPD Authorized official

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

{
    "created_epoch": "1599696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1801401450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 E END AVE APT 11G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100288036",
            "telephone_number": "305-331-9332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 MONTGOMERY ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100024808",
            "telephone_number": "212-233-5032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DROZDOW",
        "first_name": "JACQUELYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-10",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLFLEET",
            "identifier": "6581907",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Robin Drossman, MD
• Droste Mental Health Services, Inc
• Michele B Drotman, MD
• Ashley Marie Drozd
• Aleksandr Drozdov
• Kelly Ann Luz Drozdowicz
• Michael Drozdowicz, PHARMD RPH
• DRP Physical Therapy PLLC
• DRS Boyd PC
• DRS Ketay & Schaap

• Student in an Organized Health Care Education/Training Program in New York, NY
• Providers in New York, NY by specialty
• Student in an Organized Health Care Education/Training Program in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; 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.