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

Dr. Jae Lee Ross, PSYD

Individual provider Clinical Psychologist · NPI 1063708188

Dr. Jae Lee Ross, PSYD is a Clinical Psychologist in New York, New York. Qualified in 2015, 11 years ago. Practices with Memorial Sloan Kettering Cancer Center at Basking Ridge New Jersey, a 232-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Jersey, New York and Texas.

Years since qualifying
11
Licensed in
NJ, NY, TX
In the registry since
2011
Specialties on file
3
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

1275 York Ave
New York, NY 10065-6007
Phone: (212) 639-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 025249 (NY)
Clinical Psychologist Taxonomy 103TC0700X · Licence 35SI00701400 (NJ)
Clinical Psychologist Taxonomy 103TC0700X · Licence 37386 (TX)

Record details

NPI number1063708188
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorYes
NPI enumeratedJune 27, 2011
Last updated in NPPESAugust 3, 2023
Certification dateAugust 3, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Memorial Sloan Kettering Cancer Center At Basking Ridge New Jersey — 232 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients84
Services billed 301 a service is one billed item, such as a visit, a test or a procedure
Average patient age70

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Memorial Sloan Kettering Cancer Center at Basking Ridge New Jersey

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 232 clinicians in the practice; 12 are shown here.

Other providers in New York