MS. STACY CAROLINA JIMENEZ (NPI# 1649541129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649541129 |
| Entity Type | Individual |
| Full Name | MS. STACY CAROLINA JIMENEZ |
| Practice Address |
440 Sawgrass Corporate Pkwy Suite 106 Sunrise FL 33325-6244 |
| Mailing Address |
3166 W 77th Pl Hialeah FL 33018-3855 |
| Practice Telephone | 9547451112 |
| Enumeration Date | 2012-01-16 |
| Last Update Date | 2012-01-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447672043 | Stacy Korrine Jimenez | Chiropractor | 18122 W 119th St, Olathe, KS 66061-9532 | 2014-01-16 |
| Street Address |
440 SAWGRASS CORPORATE PKWY SUITE 106 |
| City | SUNRISE |
| State | FL |
| Zip Code | 33325-6244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801953278 | Children's Center for Development & Behavior | Occupational Therapist | 440 Sawgrass Corporate Pkwy, Suite 106, Sunrise, FL 33325-6244 | 2007-01-03 |
| 1902306277 | John Carlos Quilichini | Behavioral Analyst | 440 Sawgrass Corporate Pkwy, Sunrise, FL 33325-6244 | 2018-02-13 |
| 1063929396 | Daniel Alejandro Victoria | Psychologist | 440 Sawgrass Corporate Pkwy, Sunrise, FL 33325-6244 | 2018-01-09 |
| 1073053401 | Ana Isabel Garcia | Psychologist | 440 Sawgrass Corporate Pkwy, Suite 106, Sunrise, FL 33325-6244 | 2017-03-04 |
| 1316487135 | Andres Gomez | Assistant Behavior Analyst | 440 Sawgrass Corporate Pkwy, Suite 106, Sunrise, FL 33325-6244 | 2017-02-27 |
| 1033658604 | Shawn Pierre | Behavior Technician | 440 Sawgrass Corporate Pkwy, Sunrise, FL 33325-6244 | 2017-02-15 |
| 1790223980 | Arian Rodriguez De Armas | Behavior Technician | 440 Sawgrass Corporate Pkwy, Suite 106, Sunrise, FL 33325-6244 | 2017-02-07 |
| 1932647351 | Gabriela Sanchez | Psychologist | 440 Sawgrass Corporate Pkwy, Suite 106, Sunrise, FL 33325-6244 | 2017-02-06 |
| 1841748050 | Celine Badal | Psychologist | 440 Sawgrass Corporate Pkwy, Suite 106, Sunrise, FL 33325-6244 | 2016-09-16 |
| 1548713902 | Jonathan Frias | Psychologist | 440 Sawgrass Corporate Pkwy, Suite 106, Sunrise, FL 33325-6244 | 2016-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588273437 | Gabriela Avila- Garcia | Behavior Technician | 440 Sawgrass Corporate Parkway Suite 106, Sunrise, FL 33325 | 2020-07-27 |
| 1174002711 | Susana Potter | Counselor | 11913 Sw 13th Ct, Davie, FL 33325 | 2018-08-13 |
| 1871015701 | Veredy S.a.s LLC | Specialist/Technologist, Other | 705 Sw 148 Av Apt 202, Davie, FL 33325 | 2017-07-12 |
| 1861922205 | Veronica Ivonne Franco-saavedra | Physician Assistant | 701 Sw 148th Ave Apt 101, Davie, FL 33325 | 2017-06-18 |
| 1174052229 | Edinson Antonio Matos-moreno | Physician Assistant | 705 Sw 148th Ave Apt 202, Davie, FL 33325 | 2017-06-11 |
| 1457887523 | Caribbean Pediatrics Inc | Exclusive Provider Organization | 11750 Nw 6th Place, Plantation, FL 33325 | 2017-05-10 |
| 1639605058 | Scott Rosiere | Psychologist | 480 West Mount Vernon Drive, Plantation, FL 33325 | 2017-05-04 |
| 1457896458 | New Life Counseling Inc. | Counselor | 1775 S. Flamingo Rd, Suite 1, Davie, FL 33325 | 2016-12-29 |
| 1821541541 | Heather Contreras | Physician Assistant | 11352 W State Road 84 Unit 1, Davie, FL 33325 | 2016-07-28 |
| 1568822070 | Martha Falconi | Acupuncturist | 13224 W. Broward Blvd., Plantation, FL 33325 | 2016-02-25 |
| Find all providers in zip 33325 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780914721 | Graciela P Marques | Psychologist | 440 Sawgrs Corp Pkwy Ste 106, Sunrise, FL 33325-6236 | 2010-01-13 |
| 1467624338 | Sandra Michelle Roddy | Psychologist | 440 Sawgrass Corporate Pkwy Ste 106, Sunrise, FL 33325-6236 | 2008-03-31 |
| 1538636428 | Jaelin Harris | Psychologist | 440 Sawgrass Corporate Pkwy Ste 106, Sunrise, FL 33325-6236 | 2018-10-29 |
| 1124593843 | Christopher Rivera | Psychologist | 440 Sawgrass Corporate Pkwy Ste 106, Sunrise, FL 33325-6236 | 2018-10-09 |
| 1659846608 | Diana Barbara Garcia | Psychologist | 440 Sawgrass Corporate Pkwy Ste 106, Sunrise, FL 33325-6236 | 2018-10-05 |
| 1730663105 | Andrea Zurita | Psychologist | 440 Sawgrass Corporate Pkwy Ste 106, Sunrise, FL 33325-6236 | 2018-09-20 |
| 1730663394 | Sharon Roman | Psychologist | 440 Sawgrass Corporate Pkwy Ste 106, Sunrise, FL 33325-6236 | 2018-09-19 |
| 1962986539 | Alis Cueto | Psychologist | 440 Sawgrass Corporate Pkwy Ste 106, Sunrise, FL 33325-6236 | 2018-09-19 |
| 1629552575 | Diara Sofia Juma | Psychologist | 440 Sawgrass Corporate Pkwy Ste 106, Sunrise, FL 33325-6236 | 2018-09-17 |
| 1902382021 | Catherine Bauta | Psychologist | 440 Sawgrass Corporate Pkwy Ste 106, Sunrise, FL 33325-6236 | 2018-07-11 |
| Find all providers in SUNRISE | ||||
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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.