Jessy Sadovnik PA

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY6670 Issued in FL

Legal business name

JESSY SADOVNIK PA

Practice address

765 NE 195TH St
Miami, FL 33179-3421

Phone

(305) 632-0630

NPI assigned

Jan 10, 2008

Last updated

Apr 8, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jessy Sadovnik, PSYD.NPI 1114026903

Title

President

Phone

(305) 632-0630

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jessy Sadovnik, LMHC, PSYD.

  • Psychologist
  • Miami, FL
  • NPI 1114026903
  Authorized official Same address or phone

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

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302220800000",
    "number": "1124204979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "765 NE 195TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331793421",
            "telephone_number": "305-632-0630",
            "fax_number": "305-651-3463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 NE 195TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331793421",
            "telephone_number": "305-632-0630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSY SADOVNIK PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-10",
        "last_updated": "2011-04-08",
        "status": "A",
        "authorized_official_last_name": "SADOVNIK",
        "authorized_official_first_name": "JESSY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-632-0630",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY6670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "U0561",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "AH119",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessie Trice Community Health System, Inc (Main Pharmacy)
• Jessie Trice Community Health System, Inc
• Jessie Trice Community Health System, Inc
• Jessie Trice Community Health System, Inc
• Sharon Reid Jessup, PT
• Yolanda M Jester
• Jesucristo Medical Group LLC
• Jesus B. Menendez-Rivera MD PA
• Jesus de Nazareth Corp
• Jesus E Linares MD PA

• Clinical Psychologist in Miami, FL
• Providers in Miami, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2011; 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.