Active NPI
Jennifer Margaret Katzenstein, PH.D.
- Clinical Neuropsychologist
- St Petersburg, FL
National Provider Identifier
1073834354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- PY9293
- Practice address
- 880 6TH St S
Suite 420
St Petersburg, FL 33701-4827 - Phone
- (727) 767-8477
- NPI assigned
- Jun 21, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 20042408A | IN | |
| Clinical Neuropsychologist | 103G00000X | PY9293 | FL | Primary |
Addresses
Primary practice location
880 6TH St S
Suite 420
St Petersburg, FL 33701-4827
Mailing address
880 6TH St S
Suite 420
St Petersburg, FL 33701-4827
Phone (727) 767-8477
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY9293 | FL | MD | Clinical Neuropsychologist |
| 20042408A | IN | MD | Clinical Neuropsychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Physician Services, Inc. | Current | Accepting new patients | |
| Pediatric Physician Services, Inc. | Current | Accepting new patients |
Locations
880 6th St S
Ste 420
St Petersburg, FL 33701
Phone (727) 767-8477
Organizations & group practices 2
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.
-
- Pediatric Physical Therapist
- Tampa, FL
- NPI 1386393387
-
- Pediatrics Physician
- St Petersburg, FL
- NPI 1770532798
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439337600000",
"number": "1073834354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "880 6TH ST S",
"address_2": "SUITE 420",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337014827",
"telephone_number": "727-767-8477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "880 6TH ST S",
"address_2": "SUITE 420",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337014827",
"telephone_number": "727-767-8477"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KATZENSTEIN",
"first_name": "JENNIFER",
"middle_name": "MARGARET",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-21",
"last_updated": "2015-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "IN",
"license": "20042408A",
"primary": false
},
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "FL",
"license": "PY9293",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.