Active NPI
Jennifer Dawn Dunkle Parrack, PSY.D.
- Psychologist
- Amherst, NY
National Provider Identifier
1891938189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 018190-1
- Practice address
- 62 S Union Rd
Amherst, NY 14221-6509 - Phone
- (716) 352-9753
- NPI assigned
- Apr 16, 2009
- Last updated
- May 3, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 458 | WY | |
| Psychologist | 103T00000X | 018190-1 | NY | Primary |
Addresses
Primary practice location
62 S Union Rd
Amherst, NY 14221-6509
Mailing address
62 S Union Rd
Amherst, NY 14221-6509
Phone (716) 352-9753
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 018190-1 | NY | MD | Psychologist |
| 458 | WY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304380800000",
"number": "1891938189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "62 S UNION RD",
"city": "AMHERST",
"state": "NY",
"postal_code": "142216509",
"telephone_number": "716-352-9753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "62 S UNION RD",
"city": "AMHERST",
"state": "NY",
"postal_code": "142216509",
"telephone_number": "716-352-9753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARRACK",
"first_name": "JENNIFER",
"middle_name": "DAWN DUNKLE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-04-16",
"last_updated": "2011-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WY",
"license": "458",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "018190-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Amherst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.