Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jennica Laine-Formisano, PSYD

Individual provider Clinical Psychologist · NPI 1346587862

Dr. Jennica Laine-Formisano, PSYD is a Clinical Psychologist in Kingston, New York. Practices as a sole proprietor and works from 3 locations. Licensed in New York.

Licensed in
NY
In the registry since
2013
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

260 Kings Mall Ct # 331
Kingston, NY 12401-1574
Phone: (845) 489-3687
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 20 Milton Ave, Highland, NY 12528-1415 — (845) 489-3687
  • 148 Burt St, Saugerties, NY 12477-1907 — (845) 489-3687

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 021267-1 (NY)

Record details

NPI number1346587862
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorYes
NPI enumeratedJanuary 4, 2013
Last updated in NPPESMay 7, 2021
Certification dateMay 7, 2021

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