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NPI Code Detail

MEDICARE: DR. JENNA BROOKE SPERLING PSYD

MEDICARE: DR. JENNA BROOKE SPERLING PSYD
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
1103TC2200XClinical Child & Adolescent PsychologistNY

General Provider Information

NPI Number : 1689522666
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JENNA BROOKE SPERLING PSYD
Provider Business Mailing Address
First Line : 144 E 84TH ST APT 12F
Second Line :
City : NEW YORK
State : NY
Zip : 10028-2040
Country : US
Telephone Number : 646-457-7562
Fax Number :
Provider Business Practice Location Address
First Line : 320 E 94TH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10128-5604
Country : US
Telephone Number : 646-457-7562
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2026
Last Update Date : 05/24/2026

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