Active NPI
Jacqueline Marie Santoro, PHD
- Clinical Psychologist
- Whitesboro, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 012424
- 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
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 |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12424 | NY | MD | Addiction (Substance Use Disorder) Counselor |
| 012424 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Supportive Care Psychology of Ny PC | Clinical | Current | Accepting new patients |
| Knapp Street Psychiatry, PC | Clinical | Current | Accepting new patients |
| Teladoc Health Medical Group, P.a. | Current | Accepting new patients | |
| Che Senior Psychological Services, PC | Clinical | Current | 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
- jsantoro@hiemail.healtheconnections.org
- 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.
-
- Clinical Psychologist
- Brooklyn, NY
- NPI 1023078219
-
- Clinical Psychologist
- Brooklyn, NY
- NPI 1043248776
-
- Clinical Psychologist
- Howell, NJ
- NPI 1104315068
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
-
- Clinical Neuropsychologist
- Whitesboro, NY
- NPI 1619004355
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.