Provider Demographics
NPI:1235681750
Name:PINEDA-ARCHER, JOCELYN (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:JOCELYN
Middle Name:
Last Name:PINEDA-ARCHER
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:78 CARTHAGE RD
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-7148
Mailing Address - Country:US
Mailing Address - Phone:914-830-5009
Mailing Address - Fax:
Practice Address - Street 1:180 S BROADWAY STE 207B
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10605-1818
Practice Address - Country:US
Practice Address - Phone:914-506-5529
Practice Address - Fax:914-368-8721
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-01
Last Update Date:2017-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007550101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health