Charu Jain, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY9137 Issued in FL

Practice address

7420 NW 5TH St Ste 103
Plantation, FL 33317-1611

Phone

(954) 361-4860

NPI assigned

Sep 20, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Psychologist

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Charu Jain PSYD LLC

  • Clinical Psychologist
  • Plantation, FL
  • NPI 1962896191

  Clinical, FL

  Medicare reassignment NPD Authorized official
• Charu Jain, Psy.D. LLC

  • Clinical Psychologist
  • Plantation, FL
  • NPI 1396296810

  Clinical

  NPD Authorized official

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

{
    "created_epoch": "1411171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1265834337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7420 NW 5TH ST STE 103",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333171611",
            "telephone_number": "954-361-4860",
            "fax_number": "954-791-5305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7420 NW 5TH ST STE 103",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333171611",
            "telephone_number": "954-361-4860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAIN",
        "first_name": "CHARU",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-20",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY9137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Herltg-Debbie M Jadotte, ARNP
• Ashkan Jafarbay, MD
• Faraz Jaffer, M.D.
• Natalie Nina Jagarnauth
• Arash Jahromi, DPM
• Kirti Jain, RD
• Mudit Jain, M.D.
• Sandeep Jain, MD
• Jakal Medical Equipment LLC
• James B Campbell LLC

• All providers in Plantation, FL
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; 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.

Verify at the official NPI Registry.