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

Jillen B. Axelrod, PHD

Individual provider Clinical Psychologist · NPI 1083104442

Jillen B. Axelrod, PHD is a Clinical Psychologist in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2018
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

96 5th Ave Apt 1D
New York, NY 10011-7604
Phone: (212) 505-1963
Show map & directions

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

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 006539 (NY)

Record details

NPI number1083104442
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedMay 11, 2018
Last updated in NPPESMay 11, 2018

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