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

Jessica Koblenz

Individual provider Clinical Psychologist · NPI 1619392560

Jessica Koblenz is a Clinical Psychologist in Astoria, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2014

Practice location Address checks out

2540 Shore Blvd 4I
Astoria, NY 11102-3941
Phone: (847) 404-0772
Show map & directions

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

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 019849 (NY)

Record details

NPI number1619392560
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 2, 2014
Last updated in NPPESMarch 2, 2014

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