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DR. JACQUELINE SUE DEGROAT M.S.ED., PSY.D.
NPI 1073843462
Psychologist - Clinical Child & Adolescent in Brooklyn, NY

Active since January 06, 2010PECOS Enrolled
816 DITMAS AVE, BROOKLYN, NY 11218(718) 531-1800(718) 859-5909 Get Directions Write a Review

NPPES record last updated: August 25, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jacqueline Sue Degroat M.s.ed., Psy.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACQUELINE SUE DEGROAT M.S.ED., PSY.D. (NPI 1073843462) is an individual clinical child & adolescent provider in Brooklyn, New York, licensed in New York (018431-1) and active in the NPI registry since January 2010. She is enrolled in Medicare PECOS and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1073843462
Entity TypeIndividualFemale
Primary Taxonomy103TC2200X
Provider Legal NameDR. JACQUELINE SUE DEGROATCredential: M.S.ED., PSY.D.
Location Address816 DITMAS AVEBrooklyn, NY 11218-5204
Mailing Address816 Ditmas AveBrooklyn, NY 11218-5204 · (718) 531-1800 · Fax (718) 859-5909
Phone(718) 531-1800
Fax(718) 859-5909
Sole ProprietorYes
Enumeration DateJanuary 6, 2010
Last NPPES UpdateAugust 25, 2023
NPPES CertifiedAugust 25, 2023
✔ NPI 1073843462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
License✔ Licensed in NY · 018431-1
Definition

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

Also ListedPsychologist · SchoolTaxonomy 103TS0200X
816 DITMAS AVE, Brooklyn, NY 11218
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Secondary Practice Location 1

Location 1465 Grand StNew York, NY 10002-7477 · Phone (212) 429-1970 · Fax (212) 420-1906

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jacqueline Sue Degroat M.s.ed., Psy.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Degroat's NPI number?

The NPI number for Jacqueline Degroat is 1073843462. It was assigned to this individual provider in the NPPES registry on January 6, 2010.

Where is Jacqueline Degroat located?

Jacqueline Degroat practices at 816 Ditmas Ave, Brooklyn, NY 11218. The listed phone number is (718) 531-1800.

What is Jacqueline Degroat's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Jacqueline Degroat enrolled in Medicare?

Yes. Jacqueline Degroat is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacqueline Degroat was last updated on August 25, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.