MEDICARE: DR. JAYE SATIC PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	32821	CA
2	103TC0700X	Clinical Psychologist	12018	NY
3	103TC0700X	Clinical Psychologist	3217	NJ

General Provider Information

NPI Number	:	1255455853
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAYE SATIC PH.D.

Provider Business Mailing Address
First Line	:	149 E 23RD ST UNIT 1787
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10159-9658
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	32 UNION SQ E
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10003-3209
Country	:	US
Telephone Number	:	212-280-3797
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/19/2007
Last Update Date	:	05/01/2025

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Directions to “ DR. JAYE SATIC PH.D.” Practice Location

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