Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jessica Latack, PHD

Individual provider Clinical Psychologist · NPI 1659884377

Dr. Jessica Latack, PHD is a Clinical Psychologist in New York, New York. Practices as a sole proprietor and works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2017
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

200 W 57th St Ste 507
New York, NY 10019-3211
Phone: (917) 817-2422
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 425 E 61st St Rm 1363, New York, NY 10065-8722 — (734) 604-2587

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 022815 (NY)

Record details

NPI number1659884377
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedNovember 16, 2017
Last updated in NPPESAugust 19, 2019

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