Active NPI
Liberation Psychological Services, PLLC
- Psychologist
- East Syracuse, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Legal business name
- LIBERATION PSYCHOLOGICAL SERVICES, PLLC
- Practice address
- 5800 Heritage Landing Dr Ste F
East Syracuse, NY 13057-9378 - Phone
- (315) 928-2527
- Fax
- (315) 303-6303
- NPI assigned
- Aug 5, 2021
- 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. Jasmin Nicole Jones, PHD
- Title
- Psychologist
- Phone
- (315) 928-2527
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary | ||
| Counseling Psychologist | 103TC1900X |
Addresses
Primary practice location
5800 Heritage Landing Dr Ste F
East Syracuse, NY 13057-9378
Mailing address
5800 Heritage Landing Dr Ste F
East Syracuse, NY 13057-9378
Phone (315) 928-2527
Other practice location 1
178 Fellows Ave
Syracuse, NY 13210-2214
Phone (315) 928-2527
National Provider Directory
National Provider DirectoryLocations
5800 Heritage Landing Dr
Ste F
East Syracuse, NY 13057
Phone (315) 579-0200
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Counseling Psychologist
- Syracuse, NY
- NPI 1437715125
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628121600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1654128000000",
"number": "1932873502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5800 HERITAGE LANDING DR STE F",
"city": "EAST SYRACUSE",
"state": "NY",
"postal_code": "130579378",
"telephone_number": "315-928-2527",
"fax_number": "315-303-6303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5800 HERITAGE LANDING DR STE F",
"city": "EAST SYRACUSE",
"state": "NY",
"postal_code": "130579378",
"telephone_number": "315-928-2527",
"fax_number": "315-303-6303"
}
],
"practiceLocations": [
{
"address_1": "178 Fellows Ave",
"address_purpose": "LOCATION",
"city": "Syracuse",
"state": "NY",
"postal_code": "132102214",
"country_code": "US",
"telephone_number": "315-928-2527",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "LIBERATION PSYCHOLOGICAL SERVICES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-05",
"last_updated": "2022-06-02",
"certification_date": "2022-06-02",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "JASMIN",
"authorized_official_middle_name": "NICOLE",
"authorized_official_title_or_position": "PSYCHOLOGIST",
"authorized_official_telephone_number": "315-928-2527",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
},
{
"code": "103TC1900X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Counseling",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.