Jessica Kovler, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

024627 Issued in NY

Practice address

562 W End Ave PH a
New York, NY 10024-2721

Phone

(914) 420-6371

NPI assigned

Oct 25, 2021

Last updated

Oct 25, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective May 24, 2022 through May 24, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• CKM Medical PLLC

  dba Well by Messer

  • Multi-Specialty Clinic/Center
  • New York, NY
  • NPI 1801540919
  NPD (past)

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

{
    "created_epoch": "1635120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1871257980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "562 W END AVE PH A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100242721",
            "telephone_number": "914-420-6371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "562 W END AVE PH A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100242721",
            "telephone_number": "914-420-6371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVLER",
        "first_name": "JESSICA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-25",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "024627",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "024627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Kovarik, PA-C
• Brittany Kovarsy, CCC-SLP, TSSLD
• Eleni Kovats
• Koved Care Delaware, LLC
• Julie Koven, PHD
• Anastasiya Kovner
• Hayley Nicole Kovner, PA
• Naomi Kovoor, PA-C
• Rebecca Beverly Kow, MD
• Sarah Kowal Alden

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.