DR. SUSANNAH GILLE JACOBI (NPI# 1083837538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083837538 |
| Entity Type | Individual |
| Full Name | DR. SUSANNAH GILLE JACOBI |
| Credential | PH.D. |
| Practice Address |
506 Malcolm X Blvd New York NY 10037-1802 |
| Mailing Address |
59 W 12th St Apt 1e New York NY 10011-8520 |
| Practice Telephone | 2129391000 |
| Mailing Telephone | 2126630698 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-02-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
015752 | NY | Behavioral Health & Social Service Providers |
| Street Address |
506 MALCOLM X BLVD |
| City | NEW YORK |
| State | NY |
| Zip Code | 10037-1802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649258195 | Daniel James Baker | Emergency Medicine | 506 Malcolm X Blvd, New York, NY 10037-1802 | 2006-01-05 |
| 1194246983 | Sheldon Othneil Ferguson | Internal Medicine | 506 Malcolm X Blvd, New York, NY 10037-1802 | 2017-06-30 |
| 1912437070 | David Benalcazar Almeida | Student in an Organized Health Care Education/Training Program | 506 Malcolm X Blvd, New York, NY 10037 | 2017-06-12 |
| 1043662299 | Carlos Mares | Student in an Organized Health Care Education/Training Program | 506 Malcolm X Blvd, New York, NY 10037-1802 | 2016-07-11 |
| 1942652524 | Jeff Anucha | Student in an Organized Health Care Education/Training Program | 506 Malcolm X Blvd, New York, NY 10037-1802 | 2016-07-07 |
| 1790137537 | Fatima Jafri | General Acute Care Hospital | 506 Malcolm X Blvd, Harlem Hospital-depatment of Medicine, New York, NY 10037-1802 | 2016-07-05 |
| 1376907154 | Flora Lisa Williams | Physician Assistant | 506 Malcolm X Blvd, New York, NY 10037-1802 | 2016-04-07 |
| 1669847778 | Jean Michelet Jeanty | Physician Assistant | 506 Malcolm X Blvd, New York, NY 10037-1802 | 2015-12-01 |
| 1891170791 | Merina Dongol | Student in an Organized Health Care Education/Training Program | 506 Malcolm X Blvd, New York, NY 10037-1802 | 2015-07-21 |
| 1366820433 | Elma Hadzovic | Physician Assistant | 506 Malcolm X Blvd, New York, NY 10037-1802 | 2015-05-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770199986 | Collaborative for Better Urban Health, LLC | Case Management | 15 West 139th Street, Apt. 3h, New York, NY 10037 | 2020-09-22 |
| 1295352524 | Monisha Kanya Savarimuthu | Student in an Organized Health Care Education/Training Program | 506 Lenox Ave. New York, Ny 10037, 506 Lenox Ave. New York Ny 10037, New York City, NY 10037 | 2020-07-02 |
| 1396361283 | Iman Mukhtar | Student in an Organized Health Care Education/Training Program | 506 Lenox Ave, Mlk Harlem Hospital Center, New York City, NY 10037 | 2020-06-17 |
| 1982226296 | Shivani Shrestha | Student in an Organized Health Care Education/Training Program | 506 Lenox Avenue, Rm-13-106-mlk, New York City, NY 10037 | 2020-05-08 |
| 1326669359 | Natan Katanov | Student in an Organized Health Care Education/Training Program | 506 Lennox Ave, Harlem Hospital Center Dept of Dentistry, New York, NY 10037 | 2020-04-30 |
| 1699395053 | Allie Chua Tan | Student in an Organized Health Care Education/Training Program | 506 Lenox Avenue Rm 13-106-mlk, New York, NY 10037 | 2020-04-25 |
| 1619506896 | Sherlon Orin Sinclair | Student in an Organized Health Care Education/Training Program | 506 Lennox Avenue, Rm. 13-106-mlk, New York, NY 10037 | 2020-04-08 |
| 1841857166 | Domingo Pena | Student in an Organized Health Care Education/Training Program | 506 Lenox Avenue Rm. 14-106 Mlk, Harlem Hospital Center, New York, NY 10037 | 2019-05-22 |
| 1588228308 | Sebastian Cristobal Valdivieso Rueda | Student in an Organized Health Care Education/Training Program | 506 Lenox Avenue, Mlk 11.101, New York, NY 10037 | 2019-04-26 |
| 1548726235 | Michelle Len Moore | Prosthetist | 620 Lenox Ave, Suite 4c, New York, NY 10037 | 2019-02-18 |
| Find all providers in zip 10037 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
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| 1063012318 | Inga Korsgaard | Psychologist | 233 Broadway Rm 850, New York, NY 10279-0800 | 2020-10-27 |
| 1194324657 | Elizabeth Brunoski | Psychologist | 50 W 67th St Ste 5h, New York, NY 10023-6227 | 2020-10-25 |
| 1912505587 | Elspeth Hayden Kelly | Psychologist | 519 8th Ave Fl 8, New York, NY 10018-6506 | 2020-10-15 |
| 1114534757 | Joshua Andrew Haag | Psychologist | 100 Beekman St Apt 5m, New York, NY 10038-0052 | 2020-09-28 |
| 1164037909 | Katherine Louise Rachlin | Psychologist | 708 Greenwich St Apt 5b, New York, NY 10014-2598 | 2020-09-09 |
| 1538773916 | Melanie Love | Psychologist | 75 West St Apt 5h, New York, NY 10006-1793 | 2020-09-03 |
| 1952914335 | Danielle Landau | Psychologist | 127 W 96th St Apt 12e, New York, NY 10025-6482 | 2020-08-26 |
| 1265045744 | Jennifer A Drapkin | Psychologist | 136 W 71st St Apt 4f, New York, NY 10023-4024 | 2020-08-25 |
| 1245841410 | Therapeutic Alliance of New York | Psychologist | Stephanie Zola, 1 Union Square South - Apt. 21d, New York, NY 10003 | 2020-08-12 |
| 1033729686 | Colleen Cook Flannery | Psychologist | 53 E 96th St # 1, New York, NY 10128-0813 | 2020-08-07 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.