Active NPI
Jason Jimenez, PSYD
- Clinical Psychologist
- Boca Raton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY11972
- Practice address
- 7000 W Palmetto Park Rd Ste 110
Boca Raton, FL 33433-3429 - Phone
- (561) 418-6000
- NPI assigned
- Sep 6, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY11972 | FL | Primary |
Addresses
Primary practice location
7000 W Palmetto Park Rd Ste 110
Boca Raton, FL 33433-3429
Mailing address
2029 N University Dr
Coral Springs, FL 33071-6132
Phone (954) 751-0000
Other practice location 1
4765 W Atlantic Ave
Delray Beach, FL 33445-3838
Phone (561) 453-2273
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230920004021 | FL | Practitioner - Clinical Psychologist | 5193179448 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Hernando Giraldo MD IncS FL Behavioral Health Assoc, LLC
Practice addresses (Care Compare)
4765 W Atlantic Ave
Delray Beach, FL 33445-3838
Phone (561) 453-2273
7000 W Palmetto Park Rd
Suite 110
Boca Raton, FL 33433-3429
Phone (954) 362-8677
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles (2 of 3)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| S FL Behavioral Health Assoc, LLC | Current | Accepting new patients | |
| Hernando Giraldo MD Inc | Current | Accepting new patients |
Locations
7000 W Palmetto Park Rd
Ste 110
Boca Raton, FL 33433
Phone (561) 353-3376
2029 N University Dr
Coral Springs, FL 33071
Phone (954) 751-0000
4765 W Atlantic Ave
Delray Beach, FL 33445
Phone (561) 453-2273
200 E Hallandale Beach Blvd
Hallandale Beach, FL 33009
Phone (954) 457-8305
1250 E Hallandale Beach Blvd
Ste 700
Hallandale Beach, FL 33009
Phone (904) 456-3757
Networks
- Freedom Health HMO Network
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 and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Hallandale Beach, FL
- NPI 1699538140
FL
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770076800000",
"number": "1194501973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2029 N UNIVERSITY DR",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330716132",
"telephone_number": "954-751-0000",
"fax_number": "954-697-9516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7000 W PALMETTO PARK RD STE 110",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334333429",
"telephone_number": "561-418-6000"
}
],
"practiceLocations": [
{
"address_1": "4765 W Atlantic Ave",
"address_purpose": "LOCATION",
"city": "Delray Beach",
"state": "FL",
"postal_code": "334453838",
"country_code": "US",
"telephone_number": "561-453-2273",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JIMENEZ",
"first_name": "JASON",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-09-06",
"last_updated": "2026-02-03",
"certification_date": "2026-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY11972",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.