Jill Jenkins, PSYD
NPI 1174278212ActiveIndividual· Psychologist· Latham, NY
Psychologist (PSYD) in Latham, New York, licensed in NY, with an NPI issued in February 2022. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1174278212 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSYD |
| Sole proprietor | No |
| NPI issued | Feb 17, 2022 |
| Last updated in NPPES | Jan 21, 2024 |
| Certified by provider | Jan 21, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 024413 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (NY) |
|---|
Education and affiliations
| Graduation year | 1994 |
|---|---|
| Medicare specialty | Clinical Psychologist |
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