Jennifer Nicole Jimenez, PSY.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

PY8842 Issued in FL

Practice address

801 Douglas Ave
Suite 208
Altamonte SPG, FL 32714-5206

Phone

(407) 830-6412

Fax

(407) 830-8413

NPI assigned

Aug 22, 2012

Last updated

Aug 20, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. JJ Jimenez Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Behavioral Support Services, Inc.

  • Community/Behavioral Health Agency
  • Altamonte Springs, FL
  • NPI 1922145184
  NPD (past)

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

{
    "created_epoch": "1345593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440028800000",
    "number": "1346598331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 DOUGLAS AVE",
            "address_2": "SUITE 208",
            "city": "ALTAMONTE SPG",
            "state": "FL",
            "postal_code": "327145206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 DOUGLAS AVE",
            "address_2": "SUITE 208",
            "city": "ALTAMONTE SPG",
            "state": "FL",
            "postal_code": "327145206",
            "telephone_number": "407-830-6412",
            "fax_number": "407-830-8413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "JENNIFER",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-22",
        "last_updated": "2015-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "FL",
            "license": "PY8842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JJ",
            "last_name": "JIMENEZ",
            "prefix": "DR.",
            "credential": "PSY.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tremendee Monique Green
• Tonya Marie Grimsley, RN
• Ashley Hart, RBT
• Alyssa Henson, DNP, FNP-BC
• Integrated Rehab Consultants Florida, PLLC
• Jenna Leon
• Katelyn Lerdo, RBT
• Shaun Mackey, APRN
• Cadeem Stephen Marcelino
• Desmond Mason

• Counseling Psychologist in Altamonte SPG, FL
• Providers in Altamonte SPG, FL by specialty
• Counseling Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.