Phyllis K. Jensen, Psy.D.,L.L.C.

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

PY6912 Issued in FL

Legal business name

PHYLLIS K. JENSEN, PSY.D.,L.L.C.

Practice address

871 Venetia Bay Blvd
Suite 360
Venice, FL 34285-8047

Phone

(941) 485-0854

Fax

(941) 480-9013

NPI assigned

Aug 4, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Phyllis K. Jensen, PSY.D.

Title

Psychologist

Phone

(941) 485-0854

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lee Gerald Watts, LCSW

  • Clinical Social Worker
  • Venice, FL
  • NPI 1316101215
  NPD (past)

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

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243382400000",
    "number": "1306002803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "871 VENETIA BAY BLVD",
            "address_2": "SUITE 360",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342858047",
            "telephone_number": "941-485-0854",
            "fax_number": "941-480-9013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "871 VENETIA BAY BLVD",
            "address_2": "SUITE 360",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342858047",
            "telephone_number": "941-485-0854",
            "fax_number": "941-480-9013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYLLIS K. JENSEN, PSY.D.,L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-04",
        "last_updated": "2009-05-27",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "941-485-0854",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "FL",
            "license": "PY6912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Marie Phelps-Byam, FNP-C
• Josie Elizabeth Phifer
• William F Phifer, MD
• Jody A Phillips, LMT, CNA
• Phlebotomy Services of SWFL LLC
• Physical Medicine and Pain Consultants LLC
• Physical Therapy at Home Inc
• Physio Care PT LLC
• Physioworks Inc
• Phyziopro LLC

• Exclusive Provider Organization in Venice, FL
• Providers in Venice, FL by specialty
• Exclusive Provider Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2009; 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.