Healthcare Provider Details

I. General information

NPI: 1255613857
Provider Name (Legal Business Name): JAMAL HUSSEIN ESSAYLI PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/09/2011
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 UNIVERSITY DR
HERSHEY PA
17033-2391
US

IV. Provider business mailing address

3627 KILAUEA AVE
HONOLULU HI
96816-2317
US

V. Phone/Fax

Practice location:
  • Phone: 717-531-7279
  • Fax:
Mailing address:
  • Phone: 808-733-9393
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPS018596
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: