Jennifer Ackrish, Psy.D. LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY9129 Issued in FL

Legal business name

JENNIFER ACKRISH, PSY.D. LLC

Practice address

11295 NW 71St CT
Parkland, FL 33076-3851

Phone

(561) 299-0483

Fax

(954) 566-1186

NPI assigned

Jan 7, 2015

Last updated

Apr 21, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jennifer Ackrish, PSY.D.NPI 1679974877

Title

Licensed Psychologist

Phone

(561) 299-0483

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Ellen Ackrish, PSY.D.

  • Clinical Psychologist
  • Parkland, FL
  • NPI 1679974877
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1420588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618963200000",
    "number": "1013305499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11295 NW 71ST CT",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330763851",
            "telephone_number": "561-299-0483",
            "fax_number": "954-566-1186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11295 NW 71ST CT",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330763851",
            "telephone_number": "561-299-0483",
            "fax_number": "954-566-1186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER ACKRISH, PSY.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-07",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A",
        "authorized_official_last_name": "ACKRISH",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "561-299-0483",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY9129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Parkland, FL
• Providers in Parkland, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.