Active NPIIndividual providerSole proprietor

Jacob Gelles, PSYD

Psychologist, Clinical in Brooklyn, New York

NPI Number1770643553
Practice location
811 Foster Ave, Brooklyn, NY 11230-1358
Fax
—
Last updated
October 16, 2024

Jacob Gelles is a Psychologist, Clinical based in Brooklyn, NY. Jacob Gelles practices in Brooklyn, NY and has the professional credentials of PSYD. The NPI Number for Jacob Gelles is 1770643553 and holds a License No. 015618 (NY). The current practice location address for Jacob Gelles is 811 Foster Ave, Brooklyn, NY 11230-1358 and can be reached out via phone at 917-225-0383.

Provider Profile Details

NPI Number
1770643553
Provider Name
Jacob Gelles
Credential
PSYD
Provider Entity Type
Individual
Gender
Male
Address
811 Foster Ave, Brooklyn, NY 11230-1358
Phone Number
917-225-0383
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
December 11, 2006
Last Update Date
October 16, 2024
Certification Date
October 16, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
811 Foster Ave
Brooklyn, NY 11230-1358
Zip
11230-1358
Phone Number
917-225-0383
Brooklyn, NY 11230Get directions →

Provider Business Mailing Address Details

Address
257 South St
Biddeford, ME 04005-2154
City
Biddeford
State
ME
Zip
04005-2154
Phone Number
917-225-0383

License Information

License Number
015618
License State
NY
Taxonomy
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Jacob Gelles, PSYD?

The NPI number of Jacob Gelles, PSYD is 1770643553. It was assigned on December 11, 2006 and is currently active in the NPPES registry.

What is the specialty of Jacob Gelles, PSYD?

Jacob Gelles, PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in NY under license number 015618.

Where does Jacob Gelles, PSYD practice?

The practice location is 811 Foster Ave, Brooklyn, NY 11230-1358. The office can be reached at 917-225-0383 (phone).

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 1770643553 directly on the NPPES registry website.

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