Individual provider Active NPI

Jennifer Allyson Steinberg, PH.D.

  • Psychologist
  • Mount Kisco, NY
National Provider Identifier
1811170665
Registry record updated Mar 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
017328 Issued in NY
Practice address
49 Smith Ave
Mount Kisco, NY 10549-2813
Phone
(914) 218-4153
NPI assigned
Dec 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 017328 NY Primary

Addresses

Primary practice location

49 Smith Ave
Mount Kisco, NY 10549-2813

Mailing address

49 Smith Ave
Mount Kisco, NY 10549-2813
Phone (914) 218-4153

Other names 1

  • Jennifer Allyson Vaughan Other name

Medicare participation

Medicare enrollment files
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 Nov 20, 2015 through Nov 20, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
017328NYMDEarly Intervention Provider Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer Steinberg, PHD, Psychologist, PLLC Psychologist Current Accepting new patients

Locations

49 Smith Ave
Mount Kisco, NY 10549
Phone (914) 218-4153

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1197590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646352000000",
    "number": "1811170665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 SMITH AVE",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105492813",
            "telephone_number": "914-218-4153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 SMITH AVE",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105492813",
            "telephone_number": "914-218-4153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEINBERG",
        "first_name": "JENNIFER",
        "middle_name": "ALLYSON",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-14",
        "last_updated": "2022-03-04",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "017328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "VAUGHAN",
            "middle_name": "ALLYSON",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mount Kisco, NY

Sources for this page

Verify at the official NPI Registry.