Jacqueline Johnson, PSYD is a
Psychologist - Intellectual & Developmental Disabilities based in Altamont, New York. Jacqueline Johnson is licensed to practice in New York (license number 015812) and her current practice location is
2592 Western Ave Ste 200, Altamont, New York. She can be reached at her office (for appointments etc.) via phone at
(518) 595-3104.
NPI number for Jacqueline Johnson is 1437550571 and her current mailing address is 500 Balltown Rd, Schenectady, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1437550571.
Healthcare Provider's Profile
| Full Name | Jacqueline Johnson |
|---|
| Gender | Female |
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| Speciality | Psychologist - Intellectual & Developmental Disabilities |
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| Location | 2592 Western Ave Ste 200, Altamont, 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: 1437550571
- Provider Enumeration Date: 09/09/2014
- Last Update Date: 01/25/2023
Medical Identifiers
Medical identifiers for Jacqueline Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1437550571 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | 015812-1 (New York) | Secondary |
| 103TC0700X | Psychologist - Clinical | 015812 (New York) | Secondary |
| 103TS0200X | Psychologist - School | 015812 (New York) | Secondary |
| 103TM1800X | Psychologist - Intellectual & Developmental Disabilities | 015812 (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. Jacqueline Johnson 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 |
|---|
Jacqueline Johnson, PSYD
500 Balltown Rd,
Schenectady, NY 12304-2247
Ph: (518) 388-0425 | Jacqueline Johnson, PSYD
2592 Western Ave Ste 200,
Altamont, NY 12009-9401
Ph: (518) 595-3104 |
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