Active NPI
Jennifer Orleans, PH.D.
- Clinical Psychologist
- Ithaca, NY
National Provider Identifier
1992867741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 011587
- Practice address
- 215 N Cayuga St
Suite 209 Dewitt BLDG, Box 36
Ithaca, NY 14850-4329 - Phone
- (607) 273-5522
- Fax
- (707) 281-7600
- NPI assigned
- Dec 15, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 011587 | NY | Primary |
Addresses
Primary practice location
215 N Cayuga St
Suite 209 Dewitt BLDG, Box 36
Ithaca, NY 14850-4329
Mailing address
215 N Cayuga St
Suite 209 Dewitt BLDG, Box 36
Ithaca, NY 14850-4329
Phone (607) 273-5522
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: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jun 17, 2024 through Jun 17, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992867741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 N CAYUGA ST",
"address_2": "SUITE 209 DEWITT BLDG, BOX 36",
"city": "ITHACA",
"state": "NY",
"postal_code": "148504329",
"telephone_number": "607-273-5522",
"fax_number": "707-281-7600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 N CAYUGA ST",
"address_2": "SUITE 209 DEWITT BLDG, BOX 36",
"city": "ITHACA",
"state": "NY",
"postal_code": "148504329",
"telephone_number": "607-273-5522",
"fax_number": "707-281-7600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORLEANS",
"first_name": "JENNIFER",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "011587",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ithaca, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.