Individual provider Active NPI

Jacqueline Marie Santoro, PHD

  • Clinical Psychologist
  • Whitesboro, NY
National Provider Identifier
1962595264
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
012424 Issued in NY
Practice address
10 Main St
Suite 102
Whitesboro, NY 13492
Phone
(315) 768-6389
Fax
(315) 768-6392
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 012424 NY
Clinical Psychologist 103TC0700X 012424 NY Primary

Addresses

Primary practice location

10 Main St
Suite 102
Whitesboro, NY 13492

Mailing address

PO Box 26
Whitesboro, NY 13492-1035
Phone (315) 768-6389

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12424NYMDAddiction (Substance Use Disorder) Counselor
012424NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Supportive Care Psychology of Ny PC Clinical CurrentSince May 1, 2020 Accepting new patients
Knapp Street Psychiatry, PC Clinical CurrentSince Dec 1, 2021 Accepting new patients
Teladoc Health Medical Group, P.a. Current Accepting new patients
Che Senior Psychological Services, PC Clinical CurrentSince Mar 1, 2016 Accepting new patients
New Hartford Psychiatric Services PLLC Clinical Neuropsychologist Past Accepting new patients

Locations

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

1915 Ocean Ave
Brooklyn, NY 11230
Phone (718) 258-7700

250 Beach 17th St
Far Rockaway, NY 11691
Phone (516) 670-0212

7810 164th St
Fresh Meadows, NY 11366
Phone (718) 429-2200

170 Lake St
Liberty, NY 12754
Phone (845) 292-4200

330 Chestnut St
Oneonta, NY 13820
Phone (607) 432-8500

209 Beach 125th St
Rockaway Park, NY 11694
Phone (516) 721-7625

39 Wallace St
Scotia, NY 12302
Phone (518) 346-6458

135 Vanderbilt Ave
Staten Island, NY 10304
Phone (718) 447-0101

Interoperability endpoints

  • Direct secure messaging: jsantoro@hiemail.healtheconnections.org
  • Direct secure messaging: jacquelinesantoro@tdh.allscriptsdirect.net

Organizations & group practices 5

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1962595264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26",
            "city": "WHITESBORO",
            "state": "NY",
            "postal_code": "134921035",
            "telephone_number": "315-768-6389",
            "fax_number": "315-768-6392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MAIN ST",
            "address_2": "SUITE 102",
            "city": "WHITESBORO",
            "state": "NY",
            "postal_code": "13492",
            "telephone_number": "315-768-6389",
            "fax_number": "315-768-6392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTORO",
        "first_name": "JACQUELINE",
        "middle_name": "MARIE",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NY",
            "license": "012424",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "012424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitesboro, NY

Sources for this page

Verify at the official NPI Registry.