Active NPI
Lauren Jeffers, PSYD
- Clinical Psychologist
- Fort Lauderdale, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY10904
- Practice address
- 1848 SE 1St Ave
Fort Lauderdale, FL 33316-2875 - Phone
- (954) 885-9500
- Fax
- (954) 885-9444
- NPI assigned
- Sep 22, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY10904 | FL | Primary |
Addresses
Primary practice location
1848 SE 1St Ave
Fort Lauderdale, FL 33316-2875
Mailing address
1848 SE 1St Ave
Fort Lauderdale, FL 33316-2875
Phone (954) 885-9500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200929000582 | FL | Practitioner - Clinical Psychologist | 7012336837 | Reassigns benefits to 8 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Transformative Healthcare Solutions IncTransformative Healthcare Solutions West LLC
Practice addresses (Care Compare)
1848 SE 1St Ave
Fort Lauderdale, FL 33316-2875
Phone (954) 885-9500
4820 W Gandy Blvd
Tampa, FL 33611-3003
Phone (954) 885-9500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY10904 | FL | MD | Clinical Psychologist |
Practice roles (9 of 10)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Transformative Healthcare Solutions North LLC | Clinical | Current | Accepting new patients |
| Transformative Healthcare Solutions West LLC | Clinical | Current | Accepting new patients |
| Mental Health Center of Florida PA | Clinical | Current | Accepting new patients |
| Transformative Healthcare Solutions Gold Coast LLC | Clinical | Current | Accepting new patients |
| Transformative Healthcare Solutions South LLC | Clinical | Current | Accepting new patients |
| Transformative Healthcare Solutions Inc | Clinical | Current | Accepting new patients |
| Transformative Healthcare Solutions East LLC | Clinical | Current | Accepting new patients |
| Transformative Healthcare Solutions Central LLC | Clinical | Current | Accepting new patients |
| Pro Performance Physical Therapy LLC | Past | Accepting new patients |
Locations
1321 NE 24th Ave
Cape Coral, FL 33909
Phone (239) 294-2180
624 S Atlantic Ave
Daytona Beach, FL 32118
Phone (386) 258-5116
2544 E Sunrise Blvd
Fort Lauderdale, FL 33304
Phone (954) 253-0853
1848 SE 1st Ave
Ft Lauderdale, FL 33316
Phone (954) 366-2700
4243 Sunbeam Rd
Ste 8
Jacksonville, FL 32257
160 Treemonte Dr
Orange City, FL 32763
Phone (386) 423-0505
9381 US Highway 19 N
Pinellas Park, FL 33782
Phone (727) 220-0302
4820 W Gandy Blvd
Tampa, FL 33611
3710 14th St
Vero Beach, FL 32960
Phone (772) 564-0063
Networks
- Freedom Health HMO Network
Organizations & group practices 9
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.
-
- Clinical Psychologist
- Fort Lauderdale, FL
- NPI 1477114031
Clinical, FL
-
- Clinical Psychologist
- Tampa, FL
- NPI 1700610508
Clinical, FL
-
- Clinical Psychologist
- Fort Lauderdale, FL
- NPI 1679021414
Clinical, FL
-
- Clinical Psychologist
- Orange City, FL
- NPI 1407680002
Clinical, FL
-
- Clinical Psychologist
- Fort Lauderdale, FL
- NPI 1861227993
Clinical, FL
-
- Clinical Psychologist
- Fort Lauderdale, FL
- NPI 1720814536
Clinical, FL
-
- Clinical Psychologist
- Jacksonville, FL
- NPI 1205661337
Clinical, FL
-
- Clinical Psychologist
- Fort Lauderdale, FL
- NPI 1265265193
Clinical, FL
-
- Physical Therapist
- Fort Lauderdale, FL
- NPI 1215598529
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600732800000",
"number": "1346856549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1848 SE 1ST AVE",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333162875",
"telephone_number": "954-885-9500",
"fax_number": "954-885-9444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1848 SE 1ST AVE",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333162875",
"telephone_number": "954-885-9500",
"fax_number": "954-885-9444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEFFERS",
"first_name": "LAUREN",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-22",
"last_updated": "2020-09-22",
"certification_date": "2020-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY10904",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.