Active NPI
Stephanie Fagin-Jones PHD Clinical Psychologist PC
- Adult Mental Health Clinic/Center
- New York, NY
National Provider Identifier
1891034617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- License
- 016180
- Legal business name
- STEPHANIE FAGIN-JONES PHD CLINICAL PSYCHOLOGIST PC
- Practice address
- 210 W 70TH St
201
New York, NY 10023-4304 - Phone
- (917) 225-2497
- NPI assigned
- Feb 14, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Stephanie Jones, PH.D.
- Title
- Owner
- Phone
- (917) 225-2497
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | 016180 | NY | Primary |
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | 016180 | NY |
Addresses
Primary practice location
210 W 70TH St
201
New York, NY 10023-4304
Mailing address
210 W 70TH St
201
New York, NY 10023-4304
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- New York, NY
- NPI 1851315451
-
- Clinical Psychologist
- New York, NY
- NPI 1497935738
-
- Clinical Psychologist
- New York, NY
- NPI 1801125489
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360800000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1360800000000",
"number": "1891034617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 W 70TH ST",
"address_2": "201",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100234304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 W 70TH ST",
"address_2": "201",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100234304",
"telephone_number": "917-225-2497"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEPHANIE FAGIN-JONES PHD CLINICAL PSYCHOLOGIST PC",
"organizational_subpart": "NO",
"enumeration_date": "2013-02-14",
"last_updated": "2013-02-14",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "STEPHANIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "917-225-2497",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "NY",
"license": "016180",
"primary": true
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": "NY",
"license": "016180",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.