DR. JEFFREY LEE PRICKETT (NPI# 1841418456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841418456 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY LEE PRICKETT |
| Credential | PSY.D., AP |
| Practice Address |
2180 N Park Ave #326 Winter Park FL 32789-2359 |
| Mailing Address |
Po Box 697 Winter Park FL 32790-0697 |
| Practice Telephone | 4076443593 |
| Practice Fax Number | 4076441713 |
| Mailing Telephone | 4074141380 |
| Enumeration Date | 2007-04-22 |
| Last Update Date | 2017-03-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY 3938 | FL | Behavioral Health & Social Service Providers |
| N | 171100000X | Acupuncturist | AP 628 | FL | Other Service Providers |
| Street Address |
2180 N PARK AVE #326 |
| City | WINTER PARK |
| State | FL |
| Zip Code | 32789-2359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639194145 | John M. Tatum | Psychiatry & Neurology | 2180 N Park Ave, Suite 326, Winter Park, FL 32789-2359 | 2006-07-13 |
| 1487019980 | Life Enhancement Series, Inc. | Marriage & Family Therapist | 2180 N Park Ave, Suite 230, Winter Park, FL 32789-2359 | 2015-12-28 |
| 1053782730 | Leslie Moore | Counselor | 2180 N Park Ave, Suite 328, Winter Park, FL 32789-2359 | 2015-10-07 |
| 1346494630 | Mark Stanley Freeman | Counselor | 2180 N Park Ave, Suite 320, Winter Park, FL 32789-2359 | 2008-11-13 |
| 1396919890 | Monica Gfrorer | Acupuncturist | 2180 N Park Ave, Suite 328, Winter Park, FL 32789-2359 | 2008-04-15 |
| 1134390230 | Andrew Michael Kleiman | Psychiatry & Neurology | 2180 N Park Ave, Suite 320, Winter Park, FL 32789-2359 | 2008-03-17 |
| 1780860148 | John L Blankemeier | Psychiatry & Neurology | 2180 N Park Ave, Suite 320, Winter Park, FL 32789-2359 | 2008-01-16 |
| 1558566414 | Kristina Lyn Kise | Psychiatry & Neurology | 2180 N Park Ave, Suite 324, Winter Park, FL 32789-2359 | 2007-06-19 |
| 1558582254 | John M Tatum Md Pa | Psychiatry & Neurology | 2180 N Park Ave, Suite 326, Winter Park, FL 32789-2359 | 2007-05-01 |
| 1578786455 | Lori Selwyn Smith | Social Worker | 2180 N Park Ave, Suite 328, Winter Park, FL 32789-2359 | 2007-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417590894 | Elisabeth Catherine Williams | Speech-Language Pathologist | 1311 Minnesota Ave, Suite C, Winter Park, FL 32789 | 2019-10-18 |
| 1295213692 | Ruth Stern | Counselor | 1177 Louisiana Ave. Ste 214, Winter Park, FL 32789 | 2018-07-30 |
| 1083128961 | Total Care Home Services of Usa, Corp. | In Home Supportive Care | 1936 Lee Rd Ste 120a, Winter Park, FL 32789 | 2017-11-30 |
| 1346753670 | Hand In Hand Home Care Solutions, LLC | Nursing Care | 2233 Lee Rd, Ste 209, Winter Park, FL 32789 | 2017-11-08 |
| 1932621877 | Alexandra Nichole Paden | Homemaker | 941 W. Morse Blvd. #100, Winter Park, FL 32789 | 2017-07-12 |
| 1093258048 | Embracing Balance Counseling Solutions, LLC | Community/Behavioral Health | 320 Grove Avenue, Winter Park, FL 32789 | 2016-11-23 |
| 1083163968 | Interra Health Inc. | Clinic/Center | 600 N Virginia Ave, Winter Park, FL 32789 | 2016-10-03 |
| 1952850943 | Lena Partynska Dinh | Physical Therapist | 1311 Minnesota Avenue, Suite C, Winter Park, FL 32789 | 2016-10-01 |
| 1003363573 | Meagin Knight Stephenson | Occupational Therapist | 1850 Lee Road #134, Lee World Center, Winter Park, FL 32789 | 2016-09-01 |
| 1093261679 | Bronte Green | Physical Therapist | 811 South Orlando Ave, #h Cora Rehab, Winter Park, FL 32789 | 2016-09-01 |
| Find all providers in zip 32789 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114439098 | Lara Davis | Psychologist | 505 N Park Ave Ste 201, Winter Park, FL 32789-3268 | 2017-10-31 |
| 1457872954 | Nancy Elizabeth Rizzo | Psychologist | 1850 Lee Rd Ste 321, Winter Park, FL 32789-2107 | 2017-07-05 |
| 1750765756 | Amanda J Mark | Psychologist | 1685 Lee Rd Ste 200, Winter Park, FL 32789-2235 | 2015-07-20 |
| 1427466515 | Dustin Hamilton | Psychologist | 925 S Semoran Blvd Ste 114, Winter Park, FL 32792-5313 | 2014-08-01 |
| 1871927442 | Akiho Tanaka | Psychologist | 1500 Florentino Ln, Winter Park, FL 32792-1508 | 2013-08-30 |
| 1235381062 | Rena Stacy Psy D Pa | Psychologist | 259 Rippling Ln, Winter Park, FL 32789-2841 | 2008-10-10 |
| 1063622942 | Mary Monica Petith | Psychologist | 1850 Lee Rd Ste 234, Winter Park, FL 32789-2106 | 2007-05-22 |
| 1831212257 | Stacey Tantleff Dunn | Psychologist | 1345 Clay St, Winter Park, FL 32789-5404 | 2007-04-09 |
| 1679627475 | Richard K Willens | Psychologist | 1155 Louisiana Ave Ste 106, Winter Park, FL 32789-2351 | 2007-01-22 |
| 1740399609 | Monica Lorraine King | Psychologist | 2431 Aloma Ave, Suite 136, Winter Park, FL 32792-2541 | 2006-08-30 |
| Find all providers in WINTER PARK | ||||
| City | WINTER PARK |
| Zip Code | 32789 |
Please comment or provide details below to improve the information on DR. JEFFREY LEE PRICKETT.
| 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.