Jessica M Gurvit, PSY D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY5752 Issued in FL

Practice address

514 SE 11 Court
Suite a
Fort Lauderdale, FL 33316

Phone

(954) 764-7155

Fax

(954) 764-6083

NPI assigned

Dec 6, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jessica M Gurvit PSYD PA

  • Clinical Psychologist
  • Ft Lauderdale, FL
  • NPI 1275921728
  NPD (past) Authorized official
• Dr Paulina Martinez and Associates PA

  • Community/Behavioral Health Agency
  • Fort Lauderdale, FL
  • NPI 1437554094
  NPD (past)

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053470013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2133 NE 18TH AVE",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333052419",
            "telephone_number": "954-764-7155",
            "fax_number": "954-764-6083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 SE 11 COURT",
            "address_2": "SUITE A",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "33316",
            "telephone_number": "954-764-7155",
            "fax_number": "954-764-6083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GURVIT",
        "first_name": "JESSICA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PSY D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY5752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joyce Faye Gunter
• Naman Gupta
• Shobha Gupta
• Sudha Gupta, MD
• Melody Elizabeth Gurrere, OTR/L
• Carol Christine Gushwa
• Emma Gustave, NP
• Kelly Guthrie, D.M.D.
• Rafael Gutierrez, MD
• Rosemary Gutierrez, MS

• Clinical Psychologist in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.