Active NPI
Gillette Neuropsychology, LLC
- Clinical Neuropsychologist
- Davie, FL
National Provider Identifier
1346164274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- Legal business name
- GILLETTE NEUROPSYCHOLOGY, LLC
- Practice address
- 10650 W State Road 84 Ste 211
Davie, FL 33324-4235 - Phone
- (954) 257-0711
- NPI assigned
- Aug 5, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jennifer M Gillette, PSY.D.
- Title
- Owner/Neuropsychologist
- Phone
- (954) 257-0711
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | Primary |
Addresses
Primary practice location
10650 W State Road 84 Ste 211
Davie, FL 33324-4235
Mailing address
3790 SW 106TH Ter
Davie, FL 33328-1309
Phone (954) 257-0711
National Provider Directory
National Provider DirectoryLocations
10650 W State Road 84
Ste 211
Davie, FL 33324
Phone (954) 257-0711
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1785888000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785888000000",
"number": "1346164274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3790 SW 106TH TER",
"city": "DAVIE",
"state": "FL",
"postal_code": "333281309",
"telephone_number": "954-257-0711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10650 W STATE ROAD 84 STE 211",
"city": "DAVIE",
"state": "FL",
"postal_code": "333244235",
"telephone_number": "954-257-0711"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GILLETTE NEUROPSYCHOLOGY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-05",
"last_updated": "2026-08-05",
"certification_date": "2026-08-05",
"status": "A",
"authorized_official_last_name": "GILLETTE",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER/NEUROPSYCHOLOGIST",
"authorized_official_telephone_number": "954-257-0711",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Clinical Neuropsychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Davie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.