JACQUELINE LARSEN


Address: 860 Melrose Ave, Bronx, NY 10451-4443
Phone: 9174736996

JACQUELINE LARSEN (NPI# 1528671773) 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) 1528671773
Entity Type Individual
Full Name JACQUELINE LARSEN
Practice Address 860 Melrose Ave
Bronx
NY 10451-4443
Practice Telephone 9174736996
Mailing Telephone 9174736996
Enumeration Date 2020-08-27
Last Update Date 2020-08-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TS0200X Psychologist
Specialization: School 		Behavioral Health & Social Service Providers

Office Location

Street Address 860 MELROSE AVE
City BRONX
State NY
Zip Code 10451-4443

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023186749 Alexey Dmitriyev Social Worker 860 Melrose Ave, Bronx, NY 10451-4443 2006-12-01
1285231290 Caroline Kemp Social Worker 860 Melrose Ave, Bronx, NY 10451-4443 2020-10-02
1174130116 Hannah Lee Social Worker 860 Melrose Ave, Bronx, NY 10451-4443 2020-09-24
1700497278 Christine Anne Connelly Social Worker 860 Melrose Ave, Bronx, NY 10451-4443 2020-08-10
1114536786 Lystra Angella Lessey Social Worker 860 Melrose Ave, Bronx, NY 10451-4443 2020-07-29
1851921019 Annieka Jackson Registered Nurse 860 Melrose Ave, Bronx, NY 10451-4443 2020-01-16
1700425790 Rachelle Hirsch Assistant Behavior Analyst 860 Melrose Ave, Bronx, NY 10451-4443 2019-12-23
1841836905 Tiphany Marie Cruz Developmental Therapist 860 Melrose Ave, Bronx, NY 10451-4443 2019-11-25
1578109260 Abigail Ionie Caesar Social Worker 860 Melrose Ave, Bronx, NY 10451-4443 2019-11-18
1790329514 Viviana Peralta Early Intervention Provider Agency 860 Melrose Ave, Bronx, NY 10451-4443 2019-11-05
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184221426 Milena Boursiquot Counselor 240 Walton Ste 2n, Bronx, NY 10451 2020-10-08
1467065466 Armghan Azhar Azhar Munir Student in an Organized Health Care Education/Training Program Lincoln Medical Center, 234 E149th St, New York City, NY 10451 2020-08-28
1013529486 Ariane Tapang Yangco Student in an Organized Health Care Education/Training Program 234 East 149th St., Lincoln Medical and Mental Center, Internal Medicine De, New York, NY 10451 2020-08-18
1134730377 Sherida N Edding Student in an Organized Health Care Education/Training Program 234 E 149th Street, Bronx, New York City, NY 10451 2020-08-12
1922617646 Tian Fang Yu Student in an Organized Health Care Education/Training Program 234 E 149th St., The Bronx, NY 10451 2020-07-28
1659998037 Amnah Khalid Student in an Organized Health Care Education/Training Program 234 East 149st, 820, Bronx, NY 10451 2020-07-01
1871116277 Sebastian Andres Gandarillas Fraga Student in an Organized Health Care Education/Training Program 234 E. 149 Street, Suite 820, New York, NY 10451 2020-05-20
1285257642 Javier Alejandro Castro Valenzuela Student in an Organized Health Care Education/Training Program 243 East 149th Street, Suite 4-20, The Bronx, NY 10451 2020-05-20
1992331482 Montefiore Medical Center Clinic/Center 250 Thurman Munson Way #236, Bronx, NY 10451 2020-03-17
1235761958 Kellie Gevon Mcfarlane Psychologist Lincoln Hospital, Child Adolescent Psychiatric Services, 234 East 149th Street, Floor 4a, Room 4-83, Bronx, NY 10451 2020-02-11
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Taxonomy Information

Taxonomy Code 103TS0200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization School

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477174621 Katherine Jane Poynton Psychologist 628 Clarence Ave, Bronx, NY 10465-1702 2020-04-29
1194370346 Mayelin Jimenez Psychologist 3292 Boller Ave, Bronx, NY 10475-5500 2019-08-05
1417511460 Christine Williams Psychologist 117 Horton St, Bronx, NY 10464-1652 2019-04-25
1891252052 Mary E Singleton Psychologist 3647 Boller Ave, Bronx, NY 10466-6046 2019-02-25
1396240644 Edelin C Mateo Psychologist 747 E 168th St Apt 3e, Bronx, NY 10456-3855 2018-03-28
1316461940 Dania Paula Psychologist 4225 Carpenter Ave Apt 3c, Bronx, NY 10466-2624 2017-07-26
1154851749 Vicky Ann Vila Psychologist 2861 Buhre Ave. Apt 3, Bronx, NY 10461 2017-06-15
1831623255 Rosaire Joseph Sr. Psychologist 1001 E 222nd St, Bronx, NY 10469-1214 2017-04-12
1326589276 Sue Chung Psychologist 1651 Williamsbridge Rd, Apt. 3e, Bronx, NY 10461-6249 2017-03-11
1457899718 Andrea Capolupo Psychologist 55 Knolls Cres, Bronx, NY 10463-6331 2017-02-07
Find all providers in BRONX

Competitor

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City BRONX
Zip Code 10451

Improve Information

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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.

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