Individual provider Active NPI

Judith A. Jurmann, PH.D.

  • Clinical Psychologist
  • Amityville, NY
National Provider Identifier
1891883419
Registry record updated Oct 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
009168-1 Issued in NY
Practice address
5 Dowsing PL
Amityville, NY 11701-3719
Phone
(631) 598-0147
NPI assigned
Oct 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 009168-1 NY Primary

Addresses

Primary practice location

5 Dowsing PL
Amityville, NY 11701-3719

Mailing address

5 Dowsing PL
Amityville, NY 11701-3719
Phone (631) 598-0147

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101110000113 NY Practitioner - Clinical Psychologist 3577758044 Practice locations: Amityville, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5 Dowsing PL
Amityville, NY 11701-3719
Phone (631) 598-0147

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
009168-1NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ilene Jurmann, PH.D., Psychologist, P.C. Clinical Past Accepting new patients

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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193788800000",
    "number": "1891883419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 DOWSING PL",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117013719",
            "telephone_number": "631-598-0147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 DOWSING PL",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117013719",
            "telephone_number": "631-598-0147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JURMANN",
        "first_name": "JUDITH",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "009168-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amityville, NY

Sources for this page

Verify at the official NPI Registry.