Jennifer Andersen, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

021334-1 Issued in NY

Practice address

117 Dobbin St Ste 305D
Brooklyn, NY 11222-2803

Phone

(347) 651-1228

NPI assigned

Sep 27, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1380240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562803200000",
    "number": "1952738544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1081 SHORE PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112283919",
            "telephone_number": "347-651-1228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 DOBBIN ST STE 305D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112222803",
            "telephone_number": "347-651-1228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1156 N Broadway",
            "address_purpose": "LOCATION",
            "city": "Yonkers",
            "state": "NY",
            "postal_code": "107011108",
            "country_code": "US",
            "telephone_number": "914-965-3700 x1295",
            "fax_number": "914-798-5549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSEN",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-27",
        "last_updated": "2019-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "021334-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iman Andalib, M.D.
• Sandra S Andall
• Heidy Andarcio
• Charusheela Andaz, M.D.,FACS
• Erich Gen Anderer, M.D.
• Marilyn Andersen, LMT
• Sinead Andersen, LMSW
• Victoria Estal Andersen
• Alexis Ashley Anderson, LMSW
• Amanda Jasmine Anderson

• Clinical Psychologist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.