Individual provider Active NPI

Jason Jimenez, PSYD

  • Clinical Psychologist
  • Boca Raton, FL
National Provider Identifier
1194501973
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY11972 Issued in FL
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

Updated by the provider on Feb 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Inc 11 clinicians
S FL Behavioral Health Assoc, LLC 8 clinicians

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)

OrganizationSpecialtyStatusNew patients
S FL Behavioral Health Assoc, LLC CurrentSince Jul 31, 2025 Accepting new patients
Hernando Giraldo MD Inc CurrentSince Sep 8, 2023 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.

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

Verify at the official NPI Registry.