DR. JEAN ROBERT HARRY JACQUES (NPI# 1154306868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154306868 |
| Entity Type | Individual |
| Full Name | DR. JEAN ROBERT HARRY JACQUES |
| Credential | M.D. |
| Practice Address |
451 Clarkson Ave Brooklyn NY 11203-2057 |
| Mailing Address |
26 Forest Ct S Monmouth Junction NJ 08852-3123 |
| Practice Telephone | 7182452743 |
| Practice Fax Number | 7182701438 |
| Mailing Telephone | 7322138978 |
| Mailing Fax Number | 7329400965 |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2015-03-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
184486 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
451 CLARKSON AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11203-2057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922004894 | Gabriel Terbancea | Anesthesiology | 451 Clarkson Ave, Brooklyn, NY 11203-2057 | 2005-06-24 |
| 1306445200 | Robert Jonathan Ho | Physician Assistant | 451 Clarkson Ave, Brooklyn, NY 11203-2054 | 2020-10-21 |
| 1790383347 | Cereka Smith | Registered Nurse | 451 Clarkson Ave, Brooklyn, NY 11203-2054 | 2020-10-15 |
| 1407454143 | Dacia Abbidemi Bryant | Pharmacist | 451 Clarkson Ave, Brooklyn, NY 11203-2054 | 2020-10-14 |
| 1245842939 | Dennies Olivia Greenidge | Nurse Practitioner | 451 Clarkson Ave, Brooklyn, NY 11203-2097 | 2020-08-23 |
| 1720699408 | Jalisa Saud | Nurse Practitioner | 451 Clarkson Ave, Brooklyn, NY 11203-2054 | 2020-08-14 |
| 1518578483 | Caroline Elizabeth Burek | Dance Therapist | 451 Clarkson Ave, Brooklyn, NY 11203-2054 | 2020-08-13 |
| 1700400793 | Freda Safiev | Nurse Practitioner | 451 Clarkson Ave, Brooklyn, NY 11203-2054 | 2020-06-04 |
| 1154945590 | Daniel Augustine Walsh IIi | Art Therapist | 451 Clarkson Ave, Brooklyn, NY 11203-2054 | 2020-06-01 |
| 1457974214 | Kevin Son | Student in an Organized Health Care Education/Training Program | 451 Clarkson Ave, Brooklyn, NY 11203-2054 | 2020-05-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615747 | Winnie Ming Wong | Dance Therapist | 451 Clarkson Ave R Building, Idd/mh Unit, R5west, Brooklyn, NY 11203 | 2020-10-06 |
| 1174134803 | Jermiah Jonoah Jones | Social Worker | 307 E 54th St, 3, Brooklyn, NY 11203 | 2020-08-14 |
| 1780201566 | Jesvin Jeyapaulraj | Student in an Organized Health Care Education/Training Program | 450 Clarkson Avenue, Suny Downstate, General Surgery Department, Brooklyn, NY 11203 | 2020-06-29 |
| 1881219731 | Natasha Thomas | Specialist | 140 East 52nd St Brooklyn, Apt 1r, Brooklyn, NY 11203 | 2020-06-16 |
| 1679197396 | Syed Hamza Bin Waqar | Student in an Organized Health Care Education/Training Program | 450 Clarkson Avenue, Msc 50, Suny Downstate, Brooklyn, NY 11203 | 2020-05-29 |
| 1013536846 | Isaak Rubinov | Student in an Organized Health Care Education/Training Program | 91 E 39th St, Brooklyn, NY 11203 | 2020-04-12 |
| 1932733615 | Shade Celestine | Specialist | 293 East53rd Street, Brooklyn, NY 11203 | 2020-03-03 |
| 1023656147 | Shenez Brutus | Nurse Practitioner | Suny Downstate College of Nursing, 450 Clarkson Avenue, Brooklyn, NY 11203 | 2019-12-19 |
| 1215586425 | Terry-ann Lee | Registered Nurse | 440 East 45th Street, Kings, NY 11203 | 2019-09-10 |
| 1568023828 | Mmeyeneabasi David Omede | Student in an Organized Health Care Education/Training Program | 450 Clarkson Avenue, Suny Downstate Medical Center, Brooklyn, NY 11203 | 2019-06-26 |
| Find all providers in zip 11203 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831598630 | Ekunke Medical,pc | Psychiatry & Neurology | 1195 Saint Marks Ave, Brooklyn, NY 11213-2433 | 2014-08-18 |
| 1447407507 | Marie D Charles | Psychiatry & Neurology | 1819 Bergen Street, Brooklyn, NY 11233 | 2008-08-20 |
| 1386834083 | Mirielle Duperval | Psychiatry & Neurology | 391 Linden Blvd, Brooklyn, NY 11203-2823 | 2007-07-28 |
| 1609955582 | Ocean Medical Health Services Inc | Psychiatry & Neurology | 2355 Ocean Avenue, Apt# 1-g, Brooklyn, NY 11229-3132 | 2006-11-03 |
| 1699853515 | Titus Babawale Okunlola | Psychiatry & Neurology | 1040 Winthrop Street, Babok Medical Health Services, Brooklyn, NY 11212-1452 | 2006-11-01 |
| 1124134770 | Idalia Cruz | Psychiatry & Neurology | 28 Debevoise St Ste 5, Brooklyn, NY 11206-4194 | 2006-08-23 |
| 1245244169 | Kathleen Malloy | Psychiatry & Neurology | 920 48th St, Brooklyn, NY 11219-2918 | 2006-07-28 |
| 1093785297 | Fahim U Qureshi | Psychiatry & Neurology | 333 St Vincent Services, Brooklyn, NY 28305-5141 | 2006-01-23 |
| 1053300129 | David G Inwood | Psychiatry & Neurology | 95 Pierrepont St, Brooklyn, NY 11201-2704 | 2005-10-20 |
| 1992249098 | Brooklyn Minds Psychiatry, P.C. | Psychiatry & Neurology | 88 N 1st St, #15, Brooklyn, NY 11249-3936 | 2016-12-07 |
| Find all providers in BROOKLYN | ||||
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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.