Individual provider Active NPI

Jonelle Ensign, PHD

  • Psychologist
  • Rockledge, FL
National Provider Identifier
1174924591
Registry record updated May 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY11427 Issued in FL
Practice address
590 Solutions Way Ste 110
Rockledge, FL 32955-3623
Phone
(321) 305-4342
NPI assigned
Sep 5, 2014
Last updated
May 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 36708 TX
Psychologist 103T00000X 20043131A IN
School Psychologist 103TS0200X SS1491 FL
Psychologist 103T00000X PY11427 FL Primary

Addresses

Primary practice location

590 Solutions Way Ste 110
Rockledge, FL 32955-3623

Mailing address

590 Solutions Way Ste 110
Rockledge, FL 32955-3623
Phone (321) 305-4342

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY11427FLMDPsychologist
20043131AINMDPsychologist
36708TXMDPsychologist
SS1491FLMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Monarch Educational and Psychological Services Current Accepting new patients

Locations

590 Solutions Way
Ste 110
Rockledge, FL 32955
Phone (321) 291-4498

Organizations & group practices 1

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": "1409875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653696000000",
    "number": "1174924591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 SOLUTIONS WAY STE 110",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329553623",
            "telephone_number": "321-305-4342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 SOLUTIONS WAY STE 110",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329553623",
            "telephone_number": "321-305-4342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENSIGN",
        "first_name": "JONELLE",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-05",
        "last_updated": "2022-05-28",
        "certification_date": "2022-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "36708",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IN",
            "license": "20043131A",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "FL",
            "license": "SS1491",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY11427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockledge, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2022; 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.