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

Individual provider Clinical Psychologist · NPI 1922106608

Jill Ann Pettinger, PSYD is a Clinical Psychologist in Albany, New York. Qualified in 1995, 31 years ago. Practices with Roman Catholic Diocese of Albany Ny, a 9-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
31
Licensed in
NY
In the registry since
2006
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

790 Lancaster St
Albany, NY 12203-1506
Phone: (518) 489-4431
Fax: (518) 489-5189
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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 012831 (NY)

Record details

NPI number1922106608
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorYes
NPI enumeratedSeptember 20, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Roman Catholic Diocese Of Albany Ny — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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