JACKLYN EGAN


Address: 1149 Sullivan St Ste B, Elmira, NY 14901-1670
Phone: 6077337661

JACKLYN EGAN (NPI# 1093355851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093355851
Entity Type Individual
Full Name JACKLYN EGAN
Practice Address 1149 Sullivan St Ste B
Elmira
NY 14901-1670
Practice Telephone 6077337661
Enumeration Date 2020-01-09
Last Update Date 2020-01-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 175T00000X Peer Specialist Other Service Providers

Office Location

Street Address 1149 SULLIVAN ST STE B
City ELMIRA
State NY
Zip Code 14901-1670

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215587753 Michelle Wright Counselor 1149 Sullivan St Ste B, Elmira, NY 14901-1670 2019-09-17
1811596158 Cynthia Lynn Toth Counselor 1149 Sullivan St Ste B, Elmira, NY 14901-1670 2020-10-19
1639785033 Tracy Mickelson Counselor 1149 Sullivan St Ste B, Elmira, NY 14901-1670 2020-09-21
1982217659 Matthew Alexander Pitcher Social Worker 1149 Sullivan St Ste B, Elmira, NY 14901-1670 2020-08-24
1902446032 Jean A Robbins Registered Nurse 1149 Sullivan St Ste B, Elmira, NY 14901-1670 2020-01-07
1902445273 Larry D. Bartlett Jr. Peer Specialist 1149 Sullivan St Ste B, Elmira, NY 14901-1670 2020-01-03
1780222869 Etosha Blank Counselor 1149 Sullivan St Ste B, Elmira, NY 14901-1670 2019-12-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1447818182 Davida Reane Moss Case Manager/Care Coordinator 310 Pensyvania Avenue, Elmira, NY 14901 2019-05-29
1316504889 Jessica Leigh Badilla Counselor 1013 Water St, Elmira, NY 14901 2019-05-21
1427508811 Cynthia Ann Sullivan Counselor 1019 E. Water Street, Elmira, NY 14901 2016-10-10
1508313362 Kim Burlew Case Manager/Care Coordinator 1019 W. Water Street Family Services of Chemung County, Elmire, NY 14901 2016-09-08
1396195095 State of New York Comptrollers Office Clinic/Center 164 Sullivan Street, Elmira, NY 14901 2016-06-14
1285089581 Tasha R Miller Licensed Practical Nurse 426 Woodawn Ct, Elmira, NY 14901 2016-04-25
1750628111 Kelly E Bartle-bush Social Worker 711 Sullivan St., Elmira, NY 14901 2013-01-04
1144594946 Brian Mustico Occupational Therapist 512 West Clinton Street, Apartment B, Elmira, NY 14901 2012-02-27
1063780880 Deidre Ann Callaghan Physical Therapy Assistant 555 St.josephs Blvd, Elmira, NY 14901 2011-12-07
1972889467 Arnot Health General Acute Care Hospital 1 St.joseph's Blvd., Elmira, NY 14901 2011-10-27
Find all providers in zip 14901

Taxonomy Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Notes: Source: National Uniform Claim Committee [7/1/2014: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619517422 Jennifer Dodge Peer Specialist 1149 Sullivan St, Elmira, NY 14901-1670 2020-01-09
1902445273 Larry D. Bartlett Jr. Peer Specialist 1149 Sullivan St Ste B, Elmira, NY 14901-1670 2020-01-03
1114385887 Jennifer Mander Peer Specialist 100 Washington St, Elmira Psychiatric Center, Elmira, NY 14901-2898 2016-02-09
1306203070 Susan Herron Peer Specialist 100 Washington St, Elmira, NY 14901-2849 2016-01-26
1871959288 Debby Montopoli Peer Specialist 100 Washington St, Elmira, NY 14901-2849 2016-01-14
1972969335 Karen Kay Boone Peer Specialist 100 Washington St, Elmira, NY 14901-2849 2016-01-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1790385896 Gary N/a Peluso Peer Specialist 62 Allan Dr, East Norwich, NY 11732-1203 2020-10-28
1043810138 Ryan Hope Mcgovern Peer Specialist 950 S Oyster Bay Rd Bay Road, Hicksville, NY 11801-3510 2020-10-28
1669070207 Sayeeda Zorita Daniels Peer Specialist 111 Woodlawn Ave Apt 2, Buffalo, NY 14209-1713 2020-10-15
1801409842 Alexander Mannino Peer Specialist 419 Palisade Ave, Yonkers, NY 10703-2610 2020-08-28
1053924522 Graham Joshua Anderson Peer Specialist 64 Linwood Ave., Buffalo, NY 14209 2020-08-25
1467064832 Kenneth Robert Lewis Peer Specialist 320 N Goodman St Ste 202320, Rochester, NY 14607-1185 2020-08-18
1700404001 Kathy Annett Gardini Peer Specialist 1914 Brookhaven Ave, Far Rockaway, NY 11691-3626 2020-07-13
1669099826 Moseka Turkessa James Peer Specialist 1220 Remsen Ave # 1, Brooklyn, NY 11236-3925 2020-07-02
1174140545 Mercedes Busby Peer Specialist 118 Brauncroft Ln, Amherst, NY 14226-4957 2020-07-01
1457977258 Carla J Alomar Peer Specialist 414 Martin Rd, Lackawanna, NY 14218-2830 2020-06-18
Find all providers with the same taxonomy

Competitor

Search similar providers

City ELMIRA
Zip Code 14901

Improve Information

Please comment or provide details below to improve the information on JACKLYN EGAN.

Dataset Information

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.

Trending Searches