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JACQUELINE WILSON
NPI 1336906064
Residential Treatment Facility, Emotionally Disturbed Children in Pleasantville, NY

Active since February 29, 2024
1075 BROADWAY, PLEASANTVILLE, NY 10570(914) 356-9333 Get Directions Write a Review

NPPES record last updated: February 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacqueline Wilson NPPES

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

JACQUELINE WILSON (NPI 1336906064) is an individual residential treatment facility, emotionally disturbed children provider in Pleasantville, New York and active in the NPI registry since February 2024.

NPPES Registry Identity

NPI1336906064
Entity TypeIndividualFemale
Primary Taxonomy322D00000X
Provider Legal NameJACQUELINE WILSON
Location Address1075 BROADWAYPleasantville, NY 10570-2346
Mailing Address1075 BroadwayPleasantville, NY 10570-2346
Phone(914) 356-9333
Sole ProprietorYes
Enumeration DateFebruary 29, 2024
NPPES CertifiedFebruary 29, 2024
✔ NPI 1336906064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
1075 BROADWAY, Pleasantville, NY 10570
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Other Providers at the Same Location NPPES 20

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

LAURA ROLLINS LCSW
Social Worker
1075 BROADWAY
PLEASANTVILLE, NY 10570
Westchester County (929) 549-0026
MAXENE MONIQUE STAINROD
Case Manager/Care Coordinator
1075 BROADWAY
PLEASANTVILLE, NY 10570
Westchester County (914) 327-7164
MR. JARED THOMAS STRACK RN
Registered Nurse (Case Management)
1075 BROADWAY
PLEASANTVILLE, NY 10570
Westchester County (914) 741-4564
DANIELLE TERESA O'HARE LMSW
Social Worker
1075 BROADWAY
PLEASANTVILLE, NY 10570
Westchester County (914) 760-0882
JILL SCHMITT
Counselor (Addiction (Substance Use Disorder))
1075 BROADWAY, 1ST FLOOR ROOMS 250A AND 258
PLEASANTVILLE, NY 10570
Westchester County (914) 773-6940
PAULA MAY RICHMOND
Social Worker
1075 BROADWAY
PLEASANTVILLE, NY 10570
Westchester County (845) 874-5259
MICHAEL RILEY
Counselor
1075 BROADWAY
PLEASANTVILLE, NY 10570
Westchester County (914) 773-6901
BERNARD WASHINGTON
Counselor
1075 BROADWAY
PLEASANTVILLE, NY 10570
Westchester County (914) 773-6917

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 Wilson's NPI number?

The NPI number for Jacqueline Wilson is 1336906064. It was assigned to this individual provider in the NPPES registry on February 29, 2024.

Where is Jacqueline Wilson located?

Jacqueline Wilson practices at 1075 Broadway, Pleasantville, NY 10570. The listed phone number is (914) 356-9333.

What is Jacqueline Wilson's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for Jacqueline Wilson was last updated on February 29, 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.