JENNIFER ORTIZ (NPI# 1235490491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235490491 |
| Entity Type | Individual |
| Full Name | JENNIFER ORTIZ |
| Credential | PSYD |
| Practice Address |
87010 Professional Way Yulee FL 32097-3400 |
| Mailing Address |
Po Box 44230 Jacksonville FL 32231-4230 |
| Practice Telephone | 9043763800 |
| Practice Fax Number | 9043968969 |
| Mailing Telephone | 9043763800 |
| Mailing Fax Number | 9043763998 |
| Enumeration Date | 2012-06-05 |
| Last Update Date | 2018-11-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY10296 | FL | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 450 E Atlantic Blvd, Pompano Beach, FL 330606256 | 9547814405 | 9547856120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669877767 | Jennifer Ortiz | Behavioral Analyst | 28 Somerset St, Springfield, MA 01108-2616 | 2014-10-31 |
| 1811239411 | Jennifer Rose-marie Ortiz | Social Worker | 2685 Armstrong Rd Apt Z5, Wooster, OH 44691-9041 | 2013-03-21 |
| 1134729429 | Jennifer Ortiz | Behavior Technician | 7529 Standish Pl Ste 355, Derwood, MD 20855-2733 | 2020-10-27 |
| 1467098350 | Jennifer Ortiz | Registered Nurse | 15 Quade St, Glens Falls, NY 12801-2724 | 2019-11-26 |
| 1770047730 | Jennifer Rosa Ortiz | Licensed Vocational Nurse | 10429 International Blvd, Oakland, CA 94603-3221 | 2019-01-24 |
| 1114417136 | Jennifer Ortiz | Behavioral Analyst | 3040 N Wilton Ave Fl 2, Chicago, IL 60657-4424 | 2018-05-15 |
| 1174058556 | Jennifer N Ortiz | Counselor | 3002 Grand Ave, Waukegan, IL 60085-2321 | 2017-04-24 |
| 1538616651 | Jennifer Alexis Ortiz | Psychologist | 401 Quarry Rd, Dept. of Psychiatry, Stanford, CA 94305-5722 | 2016-09-07 |
| 1013360452 | Jennifer Ortiz | Counselor | 66 Pavilion Ave, Providence, RI 02905-1522 | 2016-07-21 |
| 1033577655 | Jennifer Ortiz | Case Manager/Care Coordinator | 1340 S Waldron Rd, Fort Smith, AR 72903-2556 | 2016-02-10 |
| Street Address |
87010 PROFESSIONAL WAY |
| City | YULEE |
| State | FL |
| Zip Code | 32097-3400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114947074 | Donald Pollock | Psychiatry & Neurology | 87010 Professional Way, Yulee, FL 32097-3400 | 2006-07-20 |
| 1144743337 | Lauren Elizabeth Tressler | Psychologist | 87010 Professional Way, Yulee, FL 32097-3400 | 2017-07-20 |
| 1427317825 | Gregory Miller | Psychiatry & Neurology | 87010 Professional Way, Yulee, FL 32097-3400 | 2012-05-07 |
| 1770724429 | Kathleen Washburn | Social Worker | 87010 Professional Way, Yulee, FL 32097-3400 | 2009-03-10 |
| 1750482337 | Patricia Gail Leavy | Psychologist | 87010 Professional Way, Yulee, FL 32097-3400 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104432012 | Sinead Carr | Speech-Language Pathologist | Pediatric Therapy Associates, 463380 State Rd 200 Unit A, Yulee, FL 32097 | 2020-09-17 |
| 1932749298 | Lekira Elmore Taylor | Nurse's Aide | 951421 Bridge Parkway, Fernandina Beach, FL 32097 | 2020-01-14 |
| 1003451816 | Faculty Associates, Inc | Dentist | 76011 William Burgess Boulevard, Yulee, FL 32097 | 2019-11-15 |
| 1932744414 | Beckham's Holdings,llc | Eyewear Supplier (Equipment, not the service) | 463688 Fl-200, Suite 9, Yulee, FL 32097 | 2019-11-08 |
| 1740836048 | University of Florida Jacksonville Physicians Inc | Clinic/Center | 76011 William Burgess Blvd, Yulee, FL 32097 | 2019-08-13 |
| 1669039400 | Genesis Health Development, Inc. | Clinic/Center | 463721 Sr 200, Suite 7, Jacksonville, FL 32097 | 2019-05-28 |
| 1366981540 | Shannon C Taylor | Occupational Therapist | 75136 Ravenwood Drive, Yulee, FL 32097 | 2017-02-21 |
| 1982063244 | Suzanne J Leffew | Nurse Practitioner | 463646 Sr 200 West, Ste. 12, Yulee, FL 32097 | 2016-02-15 |
| 1558737163 | Sun Gallery Enterprises | Eyewear Supplier (Equipment, not the service) | 463867 Sr 200, Suite 4, Yulee, FL 32097 | 2015-08-18 |
| 1962777177 | Spirit Enterprises | Skilled Nursing Facility | 9035 Brian Dairy Road, Largo Health Center, Largo, FL 32097 | 2012-03-21 |
| Find all providers in zip 32097 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336740224 | North Florida Collaborative Therapy | Psychologist | 9652 Morgan Creek Ct, Jacksonville, FL 32222-5808 | 2020-11-05 |
| 1922607381 | Michelle Mcnally | Psychologist | 6945 Halton Park Ln, Coconut Creek, FL 33073-2170 | 2020-10-18 |
| 1427665322 | Salubrious Psychological Services | Psychologist | 865 Nw 208th Cir, Pembroke Pines, FL 33029-1908 | 2020-09-25 |
| 1396351979 | Daniela Oliveira De Medeiros | Psychologist | 111 Majorca Ave # B, Coral Gables, FL 33134-4508 | 2020-09-19 |
| 1235744327 | Lisa Stewart | Psychologist | 13000 Bruce B Downs Blvd Bldg 68, Tampa, FL 33612-4745 | 2020-09-15 |
| 1265047047 | Anissa York | Psychologist | 6760 Congress Ave Apt 203, Boca Raton, FL 33487-1242 | 2020-09-09 |
| 1154935781 | Caressa Alice Slocum | Psychologist | 840 Dr M.l.k. Jr St N, St. Petersburg, FL 33705 | 2020-09-01 |
| 1497365399 | Julia L Sheffler | Psychologist | 1126b Lee Ave, Tallahassee, FL 32303-6508 | 2020-08-05 |
| 1801413315 | Steven David Macchione | Psychologist | 328 Nw 97th Ave, Plantation, FL 33324-7068 | 2020-06-30 |
| 1578180154 | Lory Jean Reyes | Psychologist | 1180 N Federal Hwy Ph 1608, Fort Lauderdale, FL 33304-1470 | 2020-06-30 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.