Jennifer M. Gillette, Psy.D., P.a.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PY8276 Issued in FL

Legal business name

JENNIFER M. GILLETTE, PSY.D., P.A.

Practice address

10650 W State Road 84 Ste 211
Davie, FL 33324-4235

Phone

(954) 257-0711

NPI assigned

Aug 3, 2011

Organization subpart

No

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

Authorized official

Name

Jennifer Gillette, PSY.D.

Title

Director/Psychologist

Phone

(954) 257-0711

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1312329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332806400000",
    "number": "1245518687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3790 SW 106TH TER",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333281309",
            "telephone_number": "954-257-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10650 W STATE ROAD 84 STE 211",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333244235",
            "telephone_number": "954-257-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER M. GILLETTE, PSY.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-03",
        "last_updated": "2012-03-27",
        "status": "A",
        "authorized_official_last_name": "GILLETTE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "DIRECTOR/PSYCHOLOGIST",
        "authorized_official_telephone_number": "954-257-0711",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY8276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jfdoc P.L.

• Clinical Neuropsychologist in Davie, FL
• Providers in Davie, FL by specialty
• Clinical Neuropsychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; 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.