Healthcare Provider Details

I. General information

NPI: 1992668321
Provider Name (Legal Business Name): J&A PSYCHOLOGICAL GROUP, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/03/2025
Last Update Date: 12/03/2025
Certification Date: 11/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19 THAMES ROAD
POUGHKEEPSIE NY
12603
US

IV. Provider business mailing address

19 THAMES RD
POUGHKEEPSIE NY
12603-6832
US

V. Phone/Fax

Practice location:
  • Phone: 585-615-9146
  • Fax:
Mailing address:
  • Phone: 585-615-9146
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. JAYA SAVE-MUNDRA
Title or Position: MANAGING MEMBER/AUTHORIZED OFFICIAL
Credential: PSYD
Phone: 585-615-9146