Individual provider Active NPI

Jennifer Jean Ferrell Hanington, PSYD

  • Psychologist
  • Altamonte Springs, FL
National Provider Identifier
1083791669
Registry record updated May 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY5044 Issued in FL
Practice address
125 W Pineview St
Suite 1005
Altamonte Springs, FL 32714-2007
Phone
(407) 347-4188
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY5044 FL Primary

Addresses

Primary practice location

125 W Pineview St
Suite 1005
Altamonte Springs, FL 32714-2007

Mailing address

125 W Pineview St
Suite 1005
Altamonte Springs, FL 32714-2007
Phone (407) 347-4188

Other identifiers 1

IdentifierTypeStateIssuer
59542OtherBCBS

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110407000916 FL Practitioner - Clinical Psychologist 7911976238 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1992
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

125 W Pineview St
Suite 1005
Altamonte Springs, FL 32714-2007
Phone (407) 347-4188

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PY5044FLMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer J. Ferrell-Hanington, Psy,D., P.a. Psychologist CurrentSince Jun 1, 2011 Accepting new patients
Associates in Psychology and Counseling PastSince Feb 13, 1997 Accepting new patients

Locations

125 W Pineview St
Ste 1005
Altamonte Springs, FL 32714
Phone (407) 347-4188

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

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304553600000",
    "number": "1083791669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 W PINEVIEW ST",
            "address_2": "SUITE 1005",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327142007",
            "telephone_number": "407-347-4188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 W PINEVIEW ST",
            "address_2": "SUITE 1005",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327142007",
            "telephone_number": "407-347-4188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRELL HANINGTON",
        "first_name": "JENNIFER",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2011-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY5044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "59542",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

Verify at the official NPI Registry.