MS. JEANNE OTTAWAY PHD
NPI 1699836452
Psychologist in Staten Island, NY

Active since December 13, 2006PECOS EnrolledAccepts Medicare Assignment
279 SUFFOLK AVE, STATEN ISLAND, NY 10314(718) 370-9068 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Jeanne Ottaway Phd NPPES

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

MS. JEANNE OTTAWAY PHD (NPI 1699836452) is an individual psychologist in Staten Island, New York, licensed in New York (012589-1) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1993).

NPPES Registry Identity

NPI1699836452
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameMS. JEANNE OTTAWAYCredential: PHD
Location Address279 SUFFOLK AVEStaten Island, NY 10314-6948
Mailing Address547 Pelton AveStaten Island, NY 10310-2915 · (718) 442-4391
Sole ProprietorYes
Medical School CMSOtherGraduated 1993
Enumeration DateDecember 13, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1699836452 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 · 012589-1
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.
279 SUFFOLK AVE, Staten Island, NY 10314

Other Identifiers 2

Other9610248NY · Ghi
Medicare ID-Type UnspecifiedV32351NY · Medicare

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Jeanne Ottaway Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8426115270
PECOS Enrollment IDI20090321000023
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
129 services20 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
21 services21 patients

Other Providers at the Same Location NPPES 3

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

Psychologist (Clinical)
279 SUFFOLK AVE
STATEN ISLAND, NY 10314
Social Worker (Clinical)
279 SUFFOLK AVE
STATEN ISLAND, NY 10314
Psychologist
279 SUFFOLK AVE
STATEN ISLAND, NY 10314

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 Jeanne Ottaway's NPI number?

The NPI number for Jeanne Ottaway is 1699836452. It was assigned to this individual provider in the NPPES registry on December 13, 2006.

Where is Jeanne Ottaway located?

Jeanne Ottaway practices at 279 Suffolk Ave, Staten Island, NY 10314. The listed phone number is (718) 370-9068.

What is Jeanne Ottaway's specialty?

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

Is Jeanne Ottaway enrolled in Medicare?

Yes. Jeanne Ottaway is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jeanne Ottaway accept?

Health plans from Providence Health Plan list Jeanne Ottaway 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 Jeanne Ottaway was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.