- Practice location
- 816 Ditmas Ave, Brooklyn, NY 11218-5204
- Phone
- 718-531-1800
- Fax
- 718-859-5909
- Last updated
- August 25, 2023
Jacqueline Sue Degroat is a Psychologist, Clinical Child & Adolescent based in Brooklyn, NY. Jacqueline Sue Degroat practices in Brooklyn, NY and has the professional credentials of MSED, PSYD. The NPI Number for Jacqueline Sue Degroat is 1073843462 and holds a License No. 018431-1 (NY). The current practice location address for Jacqueline Sue Degroat is 816 Ditmas Ave, Brooklyn, NY 11218-5204 and can be reached out via phone at 718-531-1800 and via fax at 718-859-5909.
Provider Profile Details
- NPI Number
- 1073843462
- Provider Name
- Jacqueline Sue Degroat
- Credential
- MSED, PSYD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 816 Ditmas Ave, Brooklyn, NY 11218-5204
- Phone Number
- 718-531-1800
- Fax Number
- 718-859-5909
- Primary Taxonomy
- Psychologist, Clinical Child & Adolescent · 103TC2200X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- January 6, 2010
- Last Update Date
- August 25, 2023
- Certification Date
- August 25, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 816 Ditmas Ave
Brooklyn, NY 11218-5204 - City
- Brooklyn
- State
- New York
- Zip
- 11218-5204
- Phone Number
- 718-531-1800
- Fax Number
- 718-859-5909
Provider Business Mailing Address Details
- Address
- 816 Ditmas Ave
Brooklyn, NY 11218-5204 - City
- Brooklyn
- State
- NY
- Zip
- 11218-5204
- Phone Number
- 718-531-1800
- Fax Number
- 718-859-5909
License Information
- License State (1)
- NY
- Taxonomy (1)
- Psychologist, School · 103TS0200X
- License Number (2)
- 018431-1
- License State (2)
- NY
- Taxonomy (2)
- Psychologist, Clinical Child & Adolescent · 103TC2200X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Jacqueline S Degroat, MSED, PSYD?
The NPI number of Dr. Jacqueline S Degroat, MSED, PSYD is 1073843462. It was assigned on January 6, 2010 and is currently active in the NPPES registry.
What is the specialty of Dr. Jacqueline S Degroat, MSED, PSYD?
Dr. Jacqueline S Degroat, MSED, PSYD is registered under the primary taxonomy Psychologist, Clinical Child & Adolescent (code 103TC2200X), licensed in NY under license number 018431-1.
Where does Dr. Jacqueline S Degroat, MSED, PSYD practice?
The practice location is 816 Ditmas Ave, Brooklyn, NY 11218-5204. The office can be reached at 718-531-1800 (phone) or 718-859-5909 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073843462 directly on the NPPES registry website.