MEDICARE: DR. ELIZABETH ANN JAGO PSY.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	071008475	IL
2	103TC0700X	Clinical Psychologist	021075	NY

General Provider Information

NPI Number	:	1538404090
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ELIZABETH ANN JAGO PSY.D.

Provider Business Mailing Address
First Line	:	12 W 9TH ST
Second Line	:	SUITE 1B-2
City	:	NEW YORK
State	:	NY
Zip	:	10011-8905
Country	:	US
Telephone Number	:	347-927-1657
Fax Number	:

Provider Business Practice Location Address
First Line	:	12 W 9TH ST
Second Line	:	SUITE 1B-2
City	:	NEW YORK
State	:	NY
Zip	:	10011-8905
Country	:	US
Telephone Number	:	347-927-1657
Fax Number	:

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

Provider Enumeration Date	:	12/10/2012
Last Update Date	:	05/04/2016

Similar Medicare Providers

1679659015 — DR. SUNNA JUNG PH.D.
Practice Location Address:

12 W 9TH ST , SUITE 1B
NEW YORK, NY
10011-8905

Practice Phone: 212-744-1480
Practice Fax:

1083767412 — MR. RICHARD S. COLLIE LCSW-R
Practice Location Address:

12 W 9TH ST # 1B2
NEW YORK, NY
10011-8905

Practice Phone: 917-232-7259
Practice Fax: 718-709-7471

1689913220 — DR. DEBORAH BARBIERE PSY.D., L.AC.
Practice Location Address:

12 W 9TH ST , SUITE 1B
NEW YORK, NY
10011-8905

Practice Phone: 212-978-7908
Practice Fax:

1194066902 — DR. JULIE KUPFER PSY.D.
Practice Location Address:

12 W 9TH ST , SUITE 1B
NEW YORK, NY
10011-8905

Practice Phone: 347-946-2682
Practice Fax:

1366679185 — MRS. HEATHER JOLEEN PETERSON MA, MED., BCBA
Practice Location Address:

10 CHEROKEE TRL
YORK HAVEN, PA
17370-8905

Practice Phone: 717-676-1950
Practice Fax:

1891125365 — VALERIE BRYANT OTR
Practice Location Address:

818 BRANT DR
NEW CASTLE, DE
19720-8905

Practice Phone: 302-743-4701
Practice Fax: 302-328-6262

Directions to “ DR. ELIZABETH ANN JAGO PSY.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.