Jill Driest, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY 8881 Issued in FL

Practice address

6867 Southpoint Dr N
Jacksonville, FL 32216-8043

Phone

(904) 619-6071

NPI assigned

Oct 10, 2013

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Foundations Pediatrics Assessment and Treatment Center

  • Adolescent and Children Mental Health Clinic/Center
  • Saint Augustine, FL
  • NPI 1245086040
  NPD Authorized official
• Foundations Pediatrics Assessment and Treatment Center

  • Community/Behavioral Health Agency
  • Saint Augustine, FL
  • NPI 1841649241
  NPD

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

{
    "created_epoch": "1381363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381708800000",
    "number": "1083041925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6867 SOUTHPOINT DR N",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322168043",
            "telephone_number": "904-619-6071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6867 SOUTHPOINT DR N",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322168043",
            "telephone_number": "904-619-6071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRIEST",
        "first_name": "JILL",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-10",
        "last_updated": "2013-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY 8881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thom Michael Aron Drew, DO
• John Joseph Drewniany, M.D.
• Mary Drewniany, PT
• Jennifer Drews
• Ceara Drexel, NP
• David M Drinkard, PT
• Devin Driscoll
• Jenna Marie Driscoll, MD
• Lori Driscoll
• William Raymond Driscoll, D.O.

• Psychologist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2013; 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.