Jessica M Gurvit PSYD PA

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY5752 Issued in FL

Legal business name

JESSICA M GURVIT PSYD PA

Practice address

514 SE 11TH CT
Suite a
Ft Lauderdale, FL 33316-1111

Phone

(954) 764-7155

NPI assigned

Jan 7, 2015

Last updated

Jan 7, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jessica M Gurvit, PSYDNPI 1053470013

Title

President

Phone

(954) 764-7155

Specialties & licenses 1

Addresses

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jessica M Gurvit, PSY D

  • Clinical Psychologist
  • Fort Lauderdale, FL
  • NPI 1053470013
  NPD (past) Authorized official
• Paulina Martinez, PHD, LCSW

  • Clinical Social Worker
  • Fort Lauderdale, FL
  • NPI 1780012617
  NPD (past)
• Jaclyn Holly Polsky, PSY.D.

  • Clinical Psychologist
  • Fort Lauderdale, FL
  • NPI 1043552045
  NPD (past)

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

{
    "created_epoch": "1420588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420588800000",
    "number": "1275921728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 SE 11TH CT",
            "address_2": "SUITE A",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333161111",
            "telephone_number": "954-764-7155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 SE 11TH CT",
            "address_2": "SUITE A",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333161111",
            "telephone_number": "954-764-7155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA M GURVIT PSYD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-07",
        "last_updated": "2015-01-07",
        "status": "A",
        "authorized_official_last_name": "GURVIT",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-764-7155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY5752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerome R Obed D.O.,P.a. (Broward Dermatology and Cosmetic Specialists)
• Jerry F Ondrusek MD PA
• Lori Ann Jesberger, NP-C
• Thomas Jeson, DDS
• Jessica L Vera PHD LLC
• Jessica Okun, DO LLC
• Flore Marie Jesuca, ARNP
• Jetcheck 365 LLC (Jet Boutique Orthodontics)
• David Jetha, MD
• Deepali Nilesh Jethwa, DDS

• Clinical Psychologist in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2015; 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.