Jolie Avena, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

022044 Issued in NY

Practice address

150 Park Row
New York, NY 10007-1704

Phone

(646) 836-6359

NPI assigned

Feb 27, 2017

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)

Not enrolled

State licenses

Practice roles

Locations

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.

• Avena Psychological Services PLLC

  • Clinical Psychologist
  • New York, NY
  • NPI 1043896244
  NPD Authorized official
• Avena Psychological Services LLC

  • Clinical Psychologist
  • Jersey City, NJ
  • NPI 1497519722
  NPD Authorized official
• MCC-Ny

  • Prison Health Clinic/Center
  • Nyc, NY
  • NPI 1275808669
  NPD (past)

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

{
    "created_epoch": "1488153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488153600000",
    "number": "1982144846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 BAY 11TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112283423",
            "telephone_number": "302-463-7889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 PARK ROW",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100071704",
            "telephone_number": "646-836-6359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVENA",
        "first_name": "JOLIE",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-27",
        "last_updated": "2017-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "022044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Terence Avecilla, M.D., PH.D.
• Edlynne Rocio Avelar, MD
• Lia Avellino
• Philip Avello
• Avena Psychological Services PLLC
• Perrin M. Avent, LCAT, ATR-BC, MS
• Aventura Hospital and Medical Center
• Avenue a Pharmacy, Inc
• Avenue Dental Ny, PC
• Avenue Medical Associates PC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; 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.