Jennifer H Mendoza, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY0005572 Issued in FL

Practice address

323 10TH Ave W
Suite 302
Palmetto, FL 34221-5047

Phone

(941) 721-6325

Fax

(941) 723-6741

NPI assigned

Oct 10, 2005

Last updated

Sep 12, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Jennifer Mendoza Sayers Former name

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• MCR Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Parrish, FL
  • NPI 1255376000
  Medicare reassignment NPD
• Deep River Psychological Services LLC

  • Clinic/Center
  • Palmetto, FL
  • NPI 1386086726
  Authorized official Same address or phone
• MCR Health, Inc.

  dba Riverside Medical Center

  • Non-Pharmacy Dispensing Site
  • Bradenton, FL
  • NPI 1821878745
  NPD
• Family Service Agency, Inc

  • Community/Behavioral Health Agency
  • Hollywood, FL
  • NPI 1295860146
  NPD (past)
• GPS II

  • Health Service Psychologist
  • Longboat Key, FL
  • NPI 1861740888
  NPD (past)
• John P McDonough III

  dba Geriatric Psychological Specialists

  • Psychologist
  • Tampa, FL
  • NPI 1346280161
  NPD (past)

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221177600000",
    "number": "1083602544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5815 FRENCH CREEK CT",
            "city": "ELLENTON",
            "state": "FL",
            "postal_code": "342225205",
            "telephone_number": "941-721-6325",
            "fax_number": "941-723-6741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 10TH AVE W",
            "address_2": "SUITE 302",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342215047",
            "telephone_number": "941-721-6325",
            "fax_number": "941-723-6741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "JENNIFER",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-10",
        "last_updated": "2008-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY0005572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "SAYERS",
            "middle_name": "MENDOZA",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• MCR Health, Inc. (North Manatee Family Behavioral Health Center)
• MCR Health, Inc. (North Manatee Family Healthcare Center)
• Med-X of USA, Inc
• Medical Arts Rehabilitation Inc
• Lauren Mednick, DC
• Mental Health Wellness LLC
• Heather Mercier
• Brenda Jeanne Micali, LMHC, LSP
• Ann Marie Mobley, L.AC.
• Molly's Home Care and Loving

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.