Individual provider Active NPI

Jamie Ann Ross, M.A., P.D., LMFT

  • Marriage & Family Therapist
  • Smithtown, NY
National Provider Identifier
1982926291
Registry record updated Mar 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
000789-1 Issued in NY
Practice address
2 Brooksite Dr
Suite 220
Smithtown, NY 11787-3492
Phone
(631) 312-7123
NPI assigned
Feb 28, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 000789-1 NY Primary

Addresses

Primary practice location

2 Brooksite Dr
Suite 220
Smithtown, NY 11787-3492

Mailing address

2 Brooksite Dr
Suite 220
Smithtown, NY 11787-3492
Phone (631) 312-7123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jun 10, 2024 through Jun 10, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
000789NYMDMental Health Counselor
000789-1NYMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jamie Ross, Licensed Marriage and Family Therapist, PLLC Marriage & Family Therapist PastSince Mar 13, 2022 Accepting new patients

Organizations & group practices 1

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": "1267315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301270400000",
    "number": "1982926291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BROOKSITE DR",
            "address_2": "SUITE 220",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873492",
            "telephone_number": "631-312-7123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 BROOKSITE DR",
            "address_2": "SUITE 220",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873492",
            "telephone_number": "631-312-7123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "JAMIE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "M.A., P.D., LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-28",
        "last_updated": "2011-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "000789-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

Verify at the official NPI Registry.