JEANNETTE KRISTINE CORREA
NPI 1427798529
Psychologist in Latham, NY

Active since March 29, 2022Opted out of Medicare · through Dec 8, 2026
15 CORNELL RD STE 2, LATHAM, NY 12110(518) 510-3100 Get Directions Write a Review

NPPES record last updated: January 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jeannette Kristine Correa NPPES

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

JEANNETTE KRISTINE CORREA (NPI 1427798529) is an individual psychologist in Latham, New York, licensed in New York (024863) and active in the NPI registry since March 2022. She has opted out of Medicare through December 8, 2026.

NPPES Registry Identity

NPI1427798529
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameJEANNETTE KRISTINE CORREA
Location Address15 CORNELL RD STE 2Latham, NY 12110-1490
Mailing Address15 Cornell Rd Ste 2Latham, NY 12110-1490 · (518) 510-3100
Sole ProprietorNo
Enumeration DateMarch 29, 2022
Last NPPES UpdateJanuary 27, 2023
NPPES CertifiedJanuary 27, 2023
NPI 1427798529 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 · 024863
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.
15 CORNELL RD STE 2, Latham, NY 12110

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Jeannette Kristine Correa has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 8, 2022 through December 8, 2026.

Opt-Out Effective DateDecember 8, 2022
Opt-Out In Effect ThroughDecember 8, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 4

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

Psychologist (Counseling)
15 CORNELL RD STE 2
LATHAM, NY 12110
Social Worker
15 CORNELL RD STE 2
LATHAM, NY 12110
Clinic/Center (Mental Health (Including Community Mental Health Center))
15 CORNELL RD STE 2
LATHAM, NY 12110
Psychologist
15 CORNELL RD STE 2
LATHAM, NY 12110

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 Jeannette Correa's NPI number?

The NPI number for Jeannette Correa is 1427798529. It was assigned to this individual provider in the NPPES registry on March 29, 2022.

Where is Jeannette Correa located?

Jeannette Correa practices at 15 Cornell Rd Ste 2, Latham, NY 12110. The listed phone number is (518) 510-3100.

What is Jeannette Correa's specialty?

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

Is Jeannette Correa enrolled in Medicare?

No. Jeannette Correa has opted out of Medicare through December 8, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jeannette Correa was last updated on January 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.