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JACLYN BRECKWOLDT
NPI 1578059119
Counselor - Mental Health in New York, NY

Active since July 06, 2018
119 W 124TH ST, NEW YORK, NY 10027(718) 260-2900 Get Directions Write a Review

NPPES record last updated: July 6, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jaclyn Breckwoldt NPPES

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

JACLYN BRECKWOLDT (NPI 1578059119) is an individual mental health provider in New York, New York and active in the NPI registry since July 2018.

NPPES Registry Identity

NPI1578059119
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJACLYN BRECKWOLDT
Location Address119 W 124TH STNew York, NY 10027-4920
Mailing Address22 Chapel StBrooklyn, NY 11201-1903
Phone(718) 260-2900
Sole ProprietorNo
Enumeration DateJuly 6, 2018
✔ NPI 1578059119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
119 W 124TH ST, New York, NY 10027
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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.

STEVEN WHITEHEAD CASAC
Counselor (Addiction (Substance Use Disorder))
119 W 124TH ST
NEW YORK, NY 10027
New York County (212) 932-2810
AURELIO SOLIVEN CABAONG JR.
Licensed Practical Nurse
119 W 124TH ST
NEW YORK, NY 10027
New York County (212) 932-2810
MS. LUCY A MIRO-QUESADA LCSW
Social Worker (Clinical)
119 W 124TH ST
NEW YORK, NY 10027
New York County (212) 932-2676
DR. TATIANA GOUSKOVA MD
Internal Medicine
119 W 124TH ST, ARTC, STARTING POINT CLINIC
NEW YORK, NY 10027
New York County (212) 865-2007
MS. ROSETTE LACRECIA RANDALL LMSW
Counselor (Addiction (Substance Use Disorder))
119 W 124TH ST, 6TH FLOOR
NEW YORK, NY 10027
New York County (917) 386-1799
TIKINA WILKINS
Licensed Practical Nurse
119 W 124TH ST
NEW YORK, NY 10027
New York County (212) 222-2069
CHRISTINA LEROY
Licensed Practical Nurse
119 W 124TH ST
NEW YORK, NY 10027
New York County (212) 932-2810
ABEENA APPANA
Licensed Practical Nurse
119 W 124TH ST
NEW YORK, NY 10027
New York County (212) 932-2676

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 Jaclyn Breckwoldt's NPI number?

The NPI number for Jaclyn Breckwoldt is 1578059119. It was assigned to this individual provider in the NPPES registry on July 6, 2018.

Where is Jaclyn Breckwoldt located?

Jaclyn Breckwoldt practices at 119 W 124th St, New York, NY 10027. The listed phone number is (718) 260-2900.

What is Jaclyn Breckwoldt's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jaclyn Breckwoldt was last updated on July 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.