Keys Gate Wellness Associates, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

KEYS GATE WELLNESS ASSOCIATES, LLC

Practice address

100 NE 15TH St Ste 101D
Homestead, FL 33030-4564

Phone

(833) 779-8646

NPI assigned

Oct 10, 2019

Last updated

Oct 10, 2019By 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. Jacqueline Santana Sparber, PSY.D.

Title

Psychologist/Clinical Director

Phone

(305) 409-6679

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1570665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570665600000",
    "number": "1033751037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14213 SW 289TH TER",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330332989",
            "telephone_number": "305-409-6679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NE 15TH ST STE 101D",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304564",
            "telephone_number": "833-779-8646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYS GATE WELLNESS ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-10",
        "last_updated": "2019-10-10",
        "status": "A",
        "authorized_official_last_name": "SANTANA SPARBER",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "PSYCHOLOGIST/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "305-409-6679",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.