JENNY DIETZ-SAMUDIO MASTER OF SCIENCE
NPI 1922243583
Psychologist in Hollis, NY

Active since December 11, 2008
184-10 JAMACA AVE, HOLLIS, NY 11423(718) 454-3584 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jenny Dietz-samudio Master Of Science NPPES

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

JENNY DIETZ-SAMUDIO MASTER OF SCIENCE (NPI 1922243583) is an individual psychologist in Hollis, New York and active in the NPI registry since December 2008.

NPPES Registry Identity

NPI1922243583
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameJENNY DIETZ-SAMUDIOCredential: MASTER OF SCIENCE
Location Address184-10 JAMACA AVEHollis, NY 11423
Mailing Address3571 Bunker AveWantagh, NY 11793 · (718) 454-3584
Sole ProprietorNo
Enumeration DateDecember 11, 2008
Last NPPES UpdateJuly 21, 2022
NPI 1922243583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
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.
184-10 JAMACA AVE, Hollis, NY 11423

Other Names 1

Other Name (5)Jenny Dietz Master Of Science

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 Jenny Dietz-samudio's NPI number?

The NPI number for Jenny Dietz-samudio is 1922243583. It was assigned to this individual provider in the NPPES registry on December 11, 2008. The provider is also known as Jenny Dietz Master Of Science.

Where is Jenny Dietz-samudio located?

Jenny Dietz-samudio practices at 184-10 Jamaca Ave, Hollis, NY 11423. The listed phone number is (718) 454-3584.

What is Jenny Dietz-samudio's specialty?

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

When was this NPI record last updated?

The NPPES record for Jenny Dietz-samudio was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.