Dr Jaclyn Lopez Witmer, PSYD is a
Psychologist - Clinical based in New York, New York. Dr Jaclyn Lopez Witmer is licensed to practice in New York (license number 022762) and her current practice location is
67 Irving Pl Fl 6, New York, New York. She can be reached at her office (for appointments etc.) via phone at
(908) 403-8906.
NPI number for Dr Jaclyn Lopez Witmer is 1528587078 and her current mailing address is 67 Irving Pl Fl 6, New York, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1528587078.
Healthcare Provider's Profile
| Full Name | Dr Jaclyn Lopez Witmer |
|---|
| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 67 Irving Pl Fl 6, New York, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1528587078
- Provider Enumeration Date: 09/15/2017
- Last Update Date: 01/31/2023
Medical Identifiers
Medical identifiers for Dr Jaclyn Lopez Witmer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528587078 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 022762 (New York) | Secondary |
| 103T00000X | Psychologist | 022762 (New York) | Secondary |
| 103TC0700X | Psychologist - Clinical | PSY1001268 (District Of Columbia) | Secondary |
| 103TC0700X | Psychologist - Clinical | 022762 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jaclyn Lopez Witmer is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Jaclyn Lopez Witmer, PSYD
67 Irving Pl Fl 6,
New York, NY 10003-2237
Ph: () - | Dr Jaclyn Lopez Witmer, PSYD
67 Irving Pl Fl 6,
New York, NY 10003-2237
Ph: (908) 403-8906 |
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