JEAN KESNOLD MESIDOR (NPI# 1891210399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891210399 |
| Entity Type | Individual |
| Full Name | JEAN KESNOLD MESIDOR |
| Credential | PHD |
| Practice Address |
1454 Madison Ave W Immokalee FL 34142-2200 |
| Mailing Address |
16 Atlantic Ave Fl 2 Lynbrook NY 11563-3046 |
| Practice Telephone | 2396583000 |
| Practice Fax Number | 2396583199 |
| Mailing Telephone | 5165931380 |
| Mailing Fax Number | 5169777451 |
| Enumeration Date | 2017-08-07 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | FL | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1755 Heritage Trl Ste 604, Naples, FL 341127600 | 2396583715 | 2393534231 |
| Street Address |
1454 MADISON AVE W |
| City | IMMOKALEE |
| State | FL |
| Zip Code | 34142-2200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083617484 | Van Keith Riley | Dentist | 1454 Madison Ave W, Immokalee, FL 34142-2200 | 2005-05-31 |
| 1467071076 | Riha Wadhwa | Student in an Organized Health Care Education/Training Program | 1454 Madison Ave W, Immokalee, FL 34142-2200 | 2020-04-14 |
| 1558821918 | Ilmary Enid Arce Febles | Dentist | 1454 Madison Ave W, Immokalee, FL 34142-2200 | 2019-03-21 |
| 1578047221 | Frances Sanchez Duverge | Psychologist | 1454 Madison Ave W, Immokalee, FL 34142-2200 | 2018-09-19 |
| 1043716996 | Anthony Tyler Riggio | Dentist | 1454 Madison Ave W, Immokalee, FL 34142-2200 | 2018-03-31 |
| 1952852758 | Christell Sanchez | Dental Hygienist | 1454 Madison Ave W, Immokalee, FL 34142-2200 | 2016-10-18 |
| 1740731447 | Paul Beingolea | Dental Hygienist | 1454 Madison Ave W, Immokalee, FL 34142-2200 | 2016-10-18 |
| 1093266892 | Olga Guerrero | Dental Hygienist | 1454 Madison Ave W, Immokalee, FL 34142-2200 | 2016-10-18 |
| 1184175986 | Orayna Perez | Dental Hygienist | 1454 Madison Ave W, Immokalee, FL 34142-2200 | 2016-10-18 |
| 1538610332 | Blanca Pazos-farkas | Dental Hygienist | 1454 Madison Ave W, Immokalee, FL 34142-2200 | 2016-10-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619432622 | Gabriels House of Care Fl. LLC | Acupuncturist | 212 South First St., Immokalee, FL 34142 | 2019-02-04 |
| 1851662472 | Seminole Tribe of Florida | Clinic/Center | 1120 S. First Street, Immokalee, FL 34142 | 2012-01-13 |
| 1881849826 | Michael Kane | Dentist | 1013 W. Main St., Unit 6a, Immokalee, FL 34142 | 2008-11-18 |
| 1699870485 | Jane J Darien | Social Worker | 425 North First St, Immokalee, FL 34142 | 2006-09-14 |
| 1659873891 | Dayna Sue Shull | Specialist/Technologist | 5050 Ave Maria Blvd, Ave Maria, FL 34142 | 2018-03-04 |
| 1457881922 | Immokalee Dental P.a. | Dentist | 1013 W. Main St., Unit 6a, Immokalee, FL 34142 | 2017-06-15 |
| 1063687838 | Alexandra Bianca Sarac | Pediatrics | 1441 Heritage Blvd, Immokalee, FL 34142 | 2008-04-23 |
| 1215262977 | Mid State Mental Health Assessment Inc | Psychologist | 7052 Annunciation Circle, Suite 329, Ave Maria, FL 34142-0000 | 2009-10-13 |
| 1194343194 | Laury Garcia | Social Worker | 3511 Carson Lakes Cir, Immokalee, FL 34142-2092 | 2020-07-07 |
| 1558399550 | Georges Etienne Quesnel | Obstetrics & Gynecology | Marion E Fether Medical Center, 1454 Madison Ave. W, Immokalee, FL 34142-2200 | 2006-06-29 |
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| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578047221 | Frances Sanchez Duverge | Psychologist | 1454 Madison Ave W, Immokalee, FL 34142-2200 | 2018-09-19 |
| 1881144459 | Maria Eugenia Rodriguez Ruiz | Psychologist | 1454 Madison Ave W, Immokalee, FL 34142-2200 | 2016-10-07 |
| 1437467776 | Eileen Christine Calderon | Psychologist | 1454 Madison Ave W, Immokalee, FL 34142-2200 | 2010-09-21 |
| 1386890267 | Diana Josefina Chavez | Psychologist | 1454 Madison Ave W, Immokalee, FL 34142-2200 | 2008-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144774 | Jennifer Mcmanus | Psychologist | 4143 San Juan Ave, Jacksonville, FL 32210-3333 | 2020-11-03 |
| 1992304711 | Thomas Francis Ryan | Psychologist | 1015 Sonesta Ave, Brandon, FL 33511-6658 | 2020-10-22 |
| 1912506924 | Emily F. Hoon, Phd, Pllc | Psychologist | 2531 Nw 41st Street, Suite C, Gainesville, FL 32606-7490 | 2020-10-21 |
| 1447866405 | Daniel Martinez | Psychologist | 4765 W Atlantic Ave, Delray Beach, FL 33445-3838 | 2020-09-16 |
| 1134731367 | North Florida Neuropsychology, LLC | Psychologist | 1614 Mahan Center Blvd Ste 104, Tallahassee, FL 32308-5475 | 2020-08-19 |
| 1215547153 | Ellen Frances Price Phd | Psychologist | 7025 Beracasa Way Ste 102c, Boca Raton, FL 33433-3428 | 2020-08-05 |
| 1811515745 | Sarah Amelia Sanon | Psychologist | 10381 Sw 9th Ln, Pembroke Pines, FL 33025-3585 | 2020-07-07 |
| 1720606718 | Carolina Montalvo | Psychologist | 480 Ne 30th St Apt 1606, Miami, FL 33137-4337 | 2020-07-07 |
| 1689291833 | Bridget Cabibi | Psychologist | 10700 Nw 66th St Apt 512, Doral, FL 33178-5508 | 2020-07-02 |
| 1912524414 | Infinity Doctors Inc. | Psychologist | 9821 E Bay Harbor Dr Apt 401, Bay Harbor Islands, FL 33154-1868 | 2020-06-30 |
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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.