Provider Demographics
NPI:1336387273
Name:AMES-FRANKEL, JODI ROBIN (PHD)
Entity Type:Individual
Prefix:DR
First Name:JODI
Middle Name:ROBIN
Last Name:AMES-FRANKEL
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:JODI
Other - Middle Name:
Other - Last Name:FRANKEL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:153 MAIN ST.
Mailing Address - Street 2:SUITE G
Mailing Address - City:MT. KISCO
Mailing Address - State:NY
Mailing Address - Zip Code:10549-4619
Mailing Address - Country:US
Mailing Address - Phone:914-318-6713
Mailing Address - Fax:
Practice Address - Street 1:153 MAIN ST.
Practice Address - Street 2:SUITE G
Practice Address - City:MT. KISCO
Practice Address - State:NY
Practice Address - Zip Code:10549-4619
Practice Address - Country:US
Practice Address - Phone:914-318-6713
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-30
Last Update Date:2009-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011714103TH0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TH0004XBehavioral Health & Social Service ProvidersPsychologistHealth