Christine M Jean-Jacques, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

017448 Issued in NY

Practice address

77 Sullys TRL
Pittsford, NY 14534-3754

Phone

(585) 248-5300

Fax

(585) 248-3427

NPI assigned

Jul 15, 2008

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Rochester Psychological Associates PLLC

  • Psychologist
  • Fairport, NY
  • NPI 1144304502
  NPD (past)

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

{
    "created_epoch": "1216080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361404800000",
    "number": "1972767440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 SULLYS TRL",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145343754",
            "telephone_number": "585-248-5300",
            "fax_number": "585-248-3427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 SULLYS TRL",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145343754",
            "telephone_number": "585-248-5300",
            "fax_number": "585-248-3427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEAN-JACQUES",
        "first_name": "CHRISTINE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-15",
        "last_updated": "2013-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "017448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jack M. Dorkhom, DMD, PLLC
• Antoinette H Jakobi, MD
• Jan M. Piper-Glasgow, DMD PC
• Carole I Jarvie
• Eddy S Jean-Baptiste, NURSING CARE,RN
• Effat Jehan, MD
• Jennifer Gargano, M.D. Pain Management PLLC
• Amy P. Jewett, MSW, LCSW-R
• Gloria A Johnson-Hovey, LMSW
• Suzanne E Johnston, MA, CCC/SLP

• Clinical Psychologist in Pittsford, NY
• Providers in Pittsford, 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 Feb 21, 2013; 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.