Jani L. Klebanow

Primary specialty

PsychologistTaxonomy code 103T00000X

License

011039-2 Issued in NY

Legal business name

JANI L. KLEBANOW

Practice address

19 W 34TH St
PH Suite
New York, NY 10001-3006

Phone

(917) 763-3232

Fax

(212) 239-0948

NPI assigned

Feb 10, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Jani L. Klebanow, PH.D.

Title

Psychologist

Phone

(917) 763-3232

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1391990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391990400000",
    "number": "1861816985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 W 34TH ST",
            "address_2": "PENTHOUSE SUITE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100013006",
            "telephone_number": "917-763-3232",
            "fax_number": "212-239-0948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 W 34TH ST",
            "address_2": "PH SUITE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100013006",
            "telephone_number": "917-763-3232",
            "fax_number": "212-239-0948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANI L. KLEBANOW",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-10",
        "last_updated": "2014-02-10",
        "status": "A",
        "authorized_official_last_name": "KLEBANOW",
        "authorized_official_first_name": "JANI",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "917-763-3232",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "NY",
            "license": "011039-2",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01405114",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1124054267",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wonseok Jang, DDS
• Yeon Soo Jang
• Young-Min Jang, NP
• Younghwan Jang
• Maria Emily Janhofer
• Ami Maheshkumar Jani, PT
• Ashish H Jani, M.D.
• Ronak Jani, N.P.
• Sonal Balmukund Jani, M.D.,
• Janian Medical Care, P.C.

• 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 Feb 10, 2014; 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.