Jaycie Elyse Herman, PSY.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

015850-1 Issued in NY

Practice address

Park Avenue Medical Associates, P.C.
Three Barker Avenue 4TH Floor
White Plains, NY 10601

Phone

(914) 949-1199

Fax

(914) 949-1245

NPI assigned

Jul 11, 2006

Last updated

Jan 31, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201737600000",
    "number": "1972538981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PARK AVENUE MEDICAL ASSOCIATES, P.C.",
            "address_2": "THREE BARKER AVENUE 4TH FLOOR",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "10601",
            "telephone_number": "914-949-1199",
            "fax_number": "914-949-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PARK AVENUE MEDICAL ASSOCIATES, P.C.",
            "address_2": "THREE BARKER AVENUE 4TH FLOOR",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "10601",
            "telephone_number": "914-949-1199",
            "fax_number": "914-949-1245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMAN",
        "first_name": "JAYCIE",
        "middle_name": "ELYSE",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2008-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "015850-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02606866",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lizreen Henry
• Kathleen Mary Herbst, DPT
• Zara Hercules, DPM
• Heritage Health Systems of New York, Inc.
• Erin Herlihy, TEACHER
• Samantha Hannah Herman, MS, RD
• Juliet Hernandez Henriquez
• Alejandra Hernandez
• Andrea Hernandez
• Katelyn Janice Hernandez, LMSW

• Clinical Psychologist in White Plains, NY
• Providers in White Plains, 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 Jan 31, 2008; 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.