Doctor profile · Federal record

Dr. Jae Ross, PSY.D.

Clinical Psychologist · Clinical Psychologist · Clinical Psychologist · New York, NY

  • NPI 1063708188
  • Accepts Medicare
  • 11 yrs in practice
  • Licensed in 3 states
  • Male
  • Solo practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
1275 York Ave
New York, NY 100656007
(212) 639-2000
Mailing address
633 3Rd Ave
New York, NY 100176706

Credentials & registration

NPPES · NUCC
NPI registered
June 2011 — 15 yrs on file
Profile last updated
August 3, 2023
Year of graduation
2015 — 11 yrs since
Specialty taxonomy
103TC0700X — NUCC code
State licenses (3)
New York #025249 · New Jersey #35SI00701400 · Texas #37386

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1063708188. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
18
Distinct HCPCS
1
Medicare allowed
$2,533
HCPCS Description Services Patients Avg allowed
90791 Psychiatric diagnostic evaluation 18 18 $141

In context: peer comparison

Among 67 peers in New York Clinical Psychologist, average services per provider: 373. This provider delivers 0.0× the peer median.

Frequently asked questions

Auto-generated from federal data
What is Dr. Jae Ross's medical specialty?
Dr. Jae Ross practices Clinical Psychologist in New York, NY.
Where does Dr. Jae Ross practice?
Dr. Jae Ross practices at 1275 York Ave, New York, NY 100656007. Office phone: 2126392000.
What is Dr. Jae Ross's NPI?
Dr. Jae Ross's National Provider Identifier (NPI) is 1063708188, issued by NPPES.
Does Dr. Jae Ross accept Medicare assignment?
Yes. Dr. Jae Ross accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jae Ross commonly perform?
Top Medicare-reported procedures in 2023: Psychiatric diagnostic evaluation (HCPCS 90791). Source: CMS Medicare Physician & Other Practitioners file.