Jacqueline Levy Jaffe, PH.D.

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

PY6557 Issued in FL

Practice address

7301 SW 57TH CT
Suite 555
South Miami, FL 33143-5317

Phone

(305) 668-7999

Fax

(305) 668-7988

NPI assigned

Jan 19, 2007

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Child Psychology Associates, P.a.

  • Clinical Child & Adolescent Psychologist
  • South Miami, FL
  • NPI 1629275300
  NPD (past)

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316090566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 N PARK RD",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330214817",
            "telephone_number": "954-343-8849",
            "fax_number": "954-343-8849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 SW 57TH CT",
            "address_2": "SUITE 555",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331435317",
            "telephone_number": "305-668-7999",
            "fax_number": "305-668-7988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAFFE",
        "first_name": "JACQUELINE",
        "middle_name": "LEVY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "FL",
            "license": "PY6557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lexy Morgan Jacobs, MS
• Leonard I Jacobson, PHD
• Robert Elliott Jacobson, M.D.
• Sanford Jacobson, M.D.
• Amy Judith Jacobstein-Oxios, PSY.D.
• Joel P Jahraus, M.D.
• Yanet Jaime Garriga
• Pragya Jaiswal, MD MSCR
• Rakesh Jakkoju, MD
• James D Davenport MD PA

• Clinical Child & Adolescent Psychologist in South Miami, FL
• Providers in South Miami, FL by specialty
• Clinical Child & Adolescent Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.