Organization Active NPI

Jennifer J. Ferrell-Hanington, Psy,D., P.a.

  • Psychologist
  • Altamonte Springs, FL
National Provider Identifier
1154613396
Registry record updated May 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY5044 Issued in FL
Legal business name
JENNIFER J. FERRELL-HANINGTON, PSY,D., P.A.
Practice address
125 W Pineview St
Suite 1005
Altamonte Springs, FL 32714-2007
Phone
(407) 347-4188
NPI assigned
May 5, 2011
Organization subpart
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

Authorized official

Name
Dr. Jennifer Jean Ferrell Hanington, PSY.D.NPI 1083791669
Title
Owner
Phone
(407) 347-4188

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110713000627 FL Part B Supplier - Clinic/Group Practice 6608044896 Receives reassigned benefits from 1 practitioner
Practice locations: Altamonte Springs, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1304553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304553600000",
    "number": "1154613396",
    "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": {
        "organization_name": "JENNIFER J. FERRELL-HANINGTON, PSY,D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-05",
        "last_updated": "2011-05-05",
        "status": "A",
        "authorized_official_last_name": "FERRELL HANINGTON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-347-4188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY5044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.