Organization Active NPI

Jeannie C. Nunez, Psy.D.

  • Psychologist
  • Pembroke Pines, FL
National Provider Identifier
1376881300
Registry record updated Jan 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
JEANNIE C. NUNEZ, PSY.D.
Practice address
1941 NW 150TH Ave
Suite 104
Pembroke Pines, FL 33028-2874
Phone
(954) 374-4747
Fax
(877) 309-7271
NPI assigned
Jan 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2013

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

Authorized official

Name
Dr. Jeannie Nunez, PSY.D.
Title
Psychologist
Phone
(954) 374-4747

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X FL Primary

Addresses

Primary practice location

1941 NW 150TH Ave
Suite 104
Pembroke Pines, FL 33028-2874

Mailing address

15861 Surrey Cir
Davie, FL 33331-2570
Phone (954) 374-4747

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1359072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359072000000",
    "number": "1376881300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15861 SURREY CIR",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333312570",
            "telephone_number": "954-374-4747",
            "fax_number": "877-309-7271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 NW 150TH AVE",
            "address_2": "SUITE 104",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330282874",
            "telephone_number": "954-374-4747",
            "fax_number": "877-309-7271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEANNIE C. NUNEZ, PSY.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-25",
        "last_updated": "2013-01-25",
        "status": "A",
        "authorized_official_last_name": "NUNEZ",
        "authorized_official_first_name": "JEANNIE",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "954-374-4747",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2013; 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.