DR. JESSICA ELKIN (NPI# 1558862375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558862375 |
| Entity Type | Individual |
| Full Name | DR. JESSICA ELKIN |
| Other Name | DR. JESSICA SHACK |
| Credential | PSYD |
| Practice Address |
808 Union Street Suite 3a, Office #11 Brooklyn NY 11215-1374 |
| Mailing Address |
236 Livingston St Apt 2d Brooklyn NY 11201-6894 |
| Practice Telephone | 9144204565 |
| Mailing Telephone | 9144204565 |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2018-02-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
022567 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912427279 | Jessica E Elkin | Physician Assistant | 3280 E. Lanark Drive, Meridian, ID 83642 | 2017-06-27 |
| Street Address |
808 UNION STREET SUITE 3A, OFFICE #11 |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11215-1374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609493584 | Lakshmi Menon | Student in an Organized Health Care Education/Training Program | 506 6th Street, New York-presbyterian Brooklyn Methodis, Brooklyn, NY 11215 | 2020-06-26 |
| 1083234785 | Yalda Hazrat | Student in an Organized Health Care Education/Training Program | 5066th Street, Brooklyn, NY 11215 | 2020-04-22 |
| 1548815384 | Brittany Dalbow | Counselor | 732 Carroll Street, Garden Apt, Brooklyn, NY 11215 | 2019-08-08 |
| 1669032504 | Bilal Ghassan Jaradat | Student in an Organized Health Care Education/Training Program | 506 6th St, Nyp Brooklyn Methodist Hospital, Brooklyn, NY 11215 | 2019-06-13 |
| 1598322547 | Abeer Ashfaq | Student in an Organized Health Care Education/Training Program | 506 6th Street, New York Presbyterian Brooklyn Methodis, Room 3113, Brooklyn, NY 11215 | 2019-05-24 |
| 1508422809 | Racha Cassard | Student in an Organized Health Care Education/Training Program | Nyp Brooklyn Methodist Hospital, 506 6th St, Brooklyn, NY 11215 | 2019-05-13 |
| 1972066884 | Nourhan Arafa Kika | Student in an Organized Health Care Education/Training Program | Nyp Brooklyn Methodist Hospital 506 6th St, New York - Brooklyn, NY 11215 | 2019-04-08 |
| 1891258703 | Mountasir El-tohami | Student in an Organized Health Care Education/Training Program | New York-presbyterian Brooklyn Methodist Hospital, 506 Sixth Street, Brooklyn, NY 11215 | 2019-04-08 |
| 1386106938 | Anita Krish | Student in an Organized Health Care Education/Training Program | Newyork-presbyterian Brooklyn Methodist Hospital, 506 6th St, Brooklyn, NY 11215 | 2019-04-03 |
| 1497237549 | Elizabeth Hopkins | Social Worker | 439 9th Street, Suite 1a, Brooklyn, NY 11215 | 2018-09-05 |
| Find all providers in zip 11215 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700484623 | Rena Lee Miller | Psychologist | 252 N 6th St Apt 17, Brooklyn, NY 11211-3367 | 2020-10-13 |
| 1811594039 | Pinchus Feintuch | Psychologist | 1580 E 18th St Ste 101, Brooklyn, NY 11230-7261 | 2020-10-01 |
| 1497361349 | Ira Schwartz | Psychologist | 2350 Ocean Avenue, Apt. Phh, Brooklyn, NY 11229-3030 | 2020-09-16 |
| 1548873516 | James Delrey Grimaldi | Psychologist | 81 77th St, Brooklyn, NY 11209-2920 | 2020-08-28 |
| 1205445855 | Virtue Sankoh | Psychologist | 8 Vanderbilt Ave Apt 12a, Brooklyn, NY 11205-1226 | 2020-07-29 |
| 1053957662 | Rebecca Brodoff | Psychologist | 3692 Bedford Ave Ste P2, Brooklyn, NY 11229-1702 | 2019-11-19 |
| 1225671985 | Kenji Takeda | Psychologist | 68 35th St Unit 4, Brooklyn, NY 11232-2211 | 2019-10-24 |
| 1497397608 | Heidi Cox | Psychologist | 540 President St Fl 3, Brooklyn, NY 11215-1493 | 2019-10-09 |
| 1801352281 | Philip Jay Bender | Psychologist | 50 Ocean Pkwy Apt 6k, Brooklyn, NY 11218-1539 | 2019-02-11 |
| 1205328010 | Groundwork Therapy Psychological Services, Pllc | Psychologist | 1000 Dean Street, Suite 226, Brooklyn, NY 11238 | 2018-06-06 |
| Find all providers in BROOKLYN | ||||
Please comment or provide details below to improve the information on DR. JESSICA ELKIN.
| 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.