Jennifer Ann Gullesserian Straley, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

018273-1 Issued in NY

Practice address

180 S Broadway Ste 202
White Plains, NY 10605-1820

Phone

(914) 414-2253

Fax

(914) 214-8476

NPI assigned

Nov 23, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Jennifer Ann Gullesserian Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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.

• Jag Psychology PC

  • Psychologist
  • White Plains, NY
  • NPI 1386948420
  NPD Authorized official
• Psychological Associates LLC

  • Psychologist
  • Bridgeport, CT
  • NPI 1770802886
  NPD (past)

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

{
    "created_epoch": "1195776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1992986566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 S BROADWAY STE 202",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106051820",
            "telephone_number": "914-414-2253",
            "fax_number": "914-214-8476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 S BROADWAY STE 202",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106051820",
            "telephone_number": "914-414-2253",
            "fax_number": "914-214-8476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULLESSERIAN STRALEY",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-23",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "018273-1",
            "primary": true
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "GULLESSERIAN",
            "middle_name": "ANN",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kelly Guich
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• Eric Carl Guido, R.PH
• Tania Regina Guimaraes, LCSW
• Avneet Kaur Gujral, DO
• Gumpal Physical Therapy PLLC
• Mark Patrick Gumpal, DPT
• Lauren Gunneson
• Faith M Gunning, PH.D.
• Emily Gunther, OTR/L

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; 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.