DR. JACOMINA PAULINA GERBRANDIJ PHD
NPI 1104537760
Psychologist in Bronx, NY

Active since December 05, 2022PECOS Enrolled
1285 FULTON AVE, BRONX, NY 10456(718) 992-7669 Get Directions Write a Review

NPPES record last updated: January 31, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Jacomina Paulina Gerbrandij Phd NPPES

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

DR. JACOMINA PAULINA GERBRANDIJ PHD (NPI 1104537760) is an individual psychologist in Bronx, New York, licensed in New York (026171) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104537760
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. JACOMINA PAULINA GERBRANDIJCredential: PHD
Location Address1285 FULTON AVEBronx, NY 10456
Mailing Address1650 Grand ConcourseBronx, NY 10457-7679 · (718) 992-7669
Sole ProprietorNo
Enumeration DateDecember 5, 2022
Last NPPES UpdateJanuary 31, 2024
NPPES CertifiedJanuary 29, 2024
✔ NPI 1104537760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in NY · 026171
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
1285 FULTON AVE, Bronx, NY 10456

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jacomina Paulina Gerbrandij Phd 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.

Medicare Billing Reassignment

Medicare enrollment records show Jacomina Gerbrandij reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychiatry
1276 FULTON AVE
Bronx, NY 10456
  • Reassigned Medicare billing, New York enrollment
  • 795 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
1285 FULTON AVE
BRONX, NY 10456
Counselor (Addiction (Substance Use Disorder))
1285 FULTON AVE
BRONX, NY 10456
Social Worker
1285 FULTON AVE
BRONX, NY 10456
Family Medicine
1285 FULTON AVE
BRONX, NY 10456
Music Therapist
1285 FULTON AVE
BRONX, NY 10456
Clinic/Center (Mental Health (Including Community Mental Health Center))
1285 FULTON AVE
BRONX, NY 10456
Social Worker
1285 FULTON AVE
BRONX, NY 10456
Social Worker (Clinical)
1285 FULTON AVE, LIFE RECOVERY CENTER BRONX LEBANON CENTER
BRONX, NY 10456

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 Jacomina Gerbrandij's NPI number?

The NPI number for Jacomina Gerbrandij is 1104537760. It was assigned to this individual provider in the NPPES registry on December 5, 2022.

Where is Jacomina Gerbrandij located?

Jacomina Gerbrandij practices at 1285 Fulton Ave, Bronx, NY 10456. The listed phone number is (718) 992-7669.

What is Jacomina Gerbrandij's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Jacomina Gerbrandij enrolled in Medicare?

Yes. Jacomina Gerbrandij is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jacomina Gerbrandij's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacomina Gerbrandij reassigns Medicare benefits to Bronxcare Health System (Bronx, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacomina Gerbrandij's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacomina Gerbrandij accept?

Health plans from Oscar Health list Jacomina Gerbrandij as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacomina Gerbrandij was last updated on January 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.