DR. JENNIFER BRODY (NPI# 1639650096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639650096 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER BRODY |
| Credential | PSY.D. |
| Practice Address |
46 Lincoln Ave Poughkeepsie NY 12601-4518 |
| Mailing Address |
16 Mussey St Apt 301 South Portland ME 04106-2035 |
| Practice Telephone | 8454716004 |
| Mailing Telephone | 2074754398 |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2018-08-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 022604 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922261510 | Jennifer Brody | Physical Therapist | 7 Bartow Ln, Chatham, NJ 07928 | 2008-07-03 |
| 1932561768 | Jennifer Butterfield Brody | Physician Assistant | 1651 Se Tiffany Ave, Port St Lucie, FL 34952-7564 | 2016-03-22 |
| 1811190820 | Jennifer C Brody | Nurse Anesthetist, Certified Registered | 111 S Front St, Harrisburg, PA 17101-2010 | 2007-06-07 |
| 1386796043 | Jennifer K Brody | Internal Medicine | 780 Albany St, Boston, MA 02118-2524 | 2007-01-16 |
| 1609862127 | Jennifer Diane Brody | Internal Medicine | 1139 E Sonterra Blvd, Suite 300, San Antonio, TX 78258-4347 | 2005-09-20 |
| Street Address |
46 LINCOLN AVE |
| City | POUGHKEEPSIE |
| State | NY |
| Zip Code | 12601-4518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649466590 | Cynthia Ann Palma | Social Worker | 46 Lincoln Ave, 3rd Floor, Poughkeepsie, NY 12601-4518 | 2007-09-24 |
| 1578162491 | Gabriela Emily Latimer | Counselor | 46 Lincoln Ave, Poughkeepsie, NY 12601-4518 | 2020-10-21 |
| 1619581592 | Alexa Sauro | Counselor | 46 Lincoln Ave, Poughkeepsie, NY 12601-4518 | 2020-09-08 |
| 1609491323 | Kaylee Blumenthal | Social Worker | 46 Lincoln Ave, Poughkeepsie, NY 12601-4518 | 2020-06-09 |
| 1104454263 | Michael Locicero | Social Worker | 46 Lincoln Ave, Poughkeepsie, NY 12601-4518 | 2020-04-01 |
| 1144885088 | Ashley Crover | Counselor | 46 Lincoln Ave, Poughkeepsie, NY 12601-4518 | 2019-05-07 |
| 1306400718 | Daniel Chapman Nadler | Counselor | 46 Lincoln Ave, Poughkeepsie, NY 12601-4518 | 2019-05-01 |
| 1265907737 | Jessica Reynolds | Counselor | 46 Lincoln Ave, Poughkeepsie, NY 12601-4518 | 2018-10-10 |
| 1558852160 | Michelle Ravit | Counselor | 46 Lincoln Ave, Poughkeepsie, NY 12601-4518 | 2018-05-21 |
| 1447763289 | Nicole M Fishwick | Social Worker | 46 Lincoln Ave, Poughkeepsie, NY 12601-4518 | 2017-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194348425 | Hudson Valley Radiologists, PC | Radiology | 57 Kingwood Park, Poughkeepsie, NY 12601 | 2020-05-21 |
| 1063049088 | Jaquellah Taylor | Student in an Organized Health Care Education/Training Program | Vassar Brother Medical Center 45 Reade Place, Poughkeepsie, NY 12601 | 2020-03-27 |
| 1053957050 | Jasmine Syin-lan Miller | Student in an Organized Health Care Education/Training Program | 3399 North Road, Marist College Msc 12617, Poughkeepsie, NY 12601 | 2019-11-25 |
| 1144864224 | Kim Beverly | Technician | 16 Tamidan Road, Poughkeepsle, NY 12601 | 2019-11-01 |
| 1851852768 | Marwa H Abdalla | Student in an Organized Health Care Education/Training Program | Vassar Brother Medical Center, 45 Reade Place, Poughkeepsie, NY 12601 | 2019-03-26 |
| 1619459047 | Victoria Bozydaj | Occupational Therapy Assistant | 50 Rinaldi Boulevard Apt 7r, Poughkeepsie, NY 12601 | 2018-09-01 |
| 1821589953 | Avo Gregory Serafino | Physician Assistant | 228 Donnelly, Poughkeepsie, NY 12601 | 2018-05-24 |
| 1649771486 | Raewyn Kalisha Clayton | Registered Nurse | 31 Forbus Street Apt C2, Poughkeepsie, NY 12601 | 2018-02-27 |
| 1780108761 | Ronica Dorothy White | Licensed Practical Nurse | 7c Muldowney Circle, Poughkeepsie, NY 12601 | 2017-08-01 |
| 1336662048 | Ashley Elizabeth Travers | Licensed Practical Nurse | 100 Innis Ave, Poughkeepsie, NY 12601 | 2017-07-25 |
| Find all providers in zip 12601 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770091365 | Deborah Ruben Sullum | Psychologist | 2 Miron Dr, Poughkeepsie, NY 12603-5021 | 2018-01-17 |
| 1922412659 | Robert W. Travis | Psychologist | 38 Firemens Way, Poughkeepsie, NY 12603-6519 | 2014-06-20 |
| 1326242256 | Ronald Robbins | Psychologist | 151 Academy St., Poughkeepsie, NY 12601 | 2007-06-13 |
| 1902989114 | Paul Oliver | Psychologist | 54 Ferris Lane, Poughkeepsie, NY 12601 | 2006-10-23 |
| 1679669287 | David Moshe Sullum | Psychologist | 2 Miron Drive, Poughkeepsie, NY 12603 | 2006-10-04 |
| 1891757134 | Kenneth M Pollock | Psychologist | Vassar Brothers Hospital, 45 Reade Pl, Poughkeepsie, NY 12601 | 2006-04-03 |
| 1013978493 | Sheila A Knights | Psychologist | 387 Hooker Ave # 5, Poughkeepsie, NY 12603-3631 | 2006-03-28 |
| 1649242371 | David Miller | Psychologist | 27 Hagan Dr, Poughkeepsie, NY 12603-5095 | 2006-02-06 |
| 1164492690 | John Patrick Nash | Psychologist | 2 Eden Ter, Poughkeepsie, NY 12601-4803 | 2006-01-26 |
| 1285011346 | David Benjamin Wapner | Psychologist | 46 Lincoln Avenue, Poughkeepsie, NY 12601 | 2015-04-28 |
| Find all providers in POUGHKEEPSIE | ||||
| City | POUGHKEEPSIE |
| Zip Code | 12601 |
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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.