Active NPI
Jessa Navide, PSY.D.
- Psychologist
- New York, NY
National Provider Identifier
1902275530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 025312
- Practice address
- 276 5TH Ave RM 605
New York, NY 10001-4527 - Phone
- (917) 847-7556
- NPI assigned
- Sep 24, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 025312 | NY | Primary |
Addresses
Primary practice location
276 5TH Ave RM 605
New York, NY 10001-4527
Mailing address
113 Farmdale CT
Lakeside Park, KY 41017-3194
Phone (859) 486-1488
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 14, 2024 through Jun 14, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 025312 | NY | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681862400000",
"number": "1902275530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 FARMDALE CT",
"city": "LAKESIDE PARK",
"state": "KY",
"postal_code": "410173194",
"telephone_number": "859-486-1488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "276 5TH AVE RM 605",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100014527",
"telephone_number": "917-847-7556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAVIDE",
"first_name": "JESSA",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-24",
"last_updated": "2023-04-19",
"certification_date": "2023-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "025312",
"primary": true
}
],
"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 Apr 19, 2023; 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.