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

Dr. Jason Krellman, PHD, ABPP-CN

Individual provider Clinical Neuropsychologist · NPI 1730465063

Dr. Jason Krellman, PHD, ABPP-CN is a Clinical Psychologist in New York, New York. Qualified in 2009, 17 years ago. Practices with Trustees of Columbia University in the City of New York, a 2,250-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
17
Licensed in
NY
In the registry since
2011
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

710 W 168th St
New York, NY 10032-3726
Phone: (646) 426-3876
Fax: (212) 305-1145
Show map & directions

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

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence 019043 (NY)

Record details

NPI number1730465063
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD , ABPP-CN
Sole proprietorYes
NPI enumeratedNovember 1, 2011
Last updated in NPPESFebruary 13, 2018

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Trustees Of Columbia University In The City Of New York — 2250 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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