Jacqueline Hubbard, M.D., PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

JACQUELINE HUBBARD, M.D., PLLC

Practice address

2653 McCormick Dr
Clearwater, FL 33759-1041

Phone

(727) 877-8225

NPI assigned

Aug 3, 2016

Last updated

Aug 3, 2016By 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

Jacqueline Hubbard

Title

Ambr

Phone

(727) 877-8225

Specialties & licenses 4

Addresses

Locations

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

{
    "created_epoch": "1470182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470182400000",
    "number": "1326591686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 530251",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337470251",
            "telephone_number": "727-877-8225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2653 MCCORMICK DR",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337591041",
            "telephone_number": "727-877-8225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACQUELINE HUBBARD, M.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-03",
        "last_updated": "2016-08-03",
        "status": "A",
        "authorized_official_last_name": "HUBBARD",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "AMBR",
        "authorized_official_telephone_number": "727-877-8225"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mackenzie Jackson
• Shanel Loree Jackson, P.T.
• Dominique Leticia Jacobs
• Stephen H Jacobs, MD
• Ronald Jacobson, MD
• Teresa Jacquemoud
• Mary Elizabeth Jaeger, FNP-C
• Shelley Jaffe, LMT
• Jaime L. Friedman, LLC
• Victoria Beatriz Jais, LCSW

• Mental Health Clinic/Center (Including Community Mental Health Center) in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2016; 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.