Janine Q Furdella, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

11170 Issued in FL

Practice address

2601 E Oakland Park Blvd Ste 502
Fort Lauderdale, FL 33306-1617

Phone

(954) 488-2933

NPI assigned

Mar 15, 2016

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

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jamie Long, Psy.D., P.a.Group PAC ID 0648416354, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Jamie Long, Psy.D., P.a.

  • Clinical Psychologist
  • Ft Lauderdale, FL
  • NPI 1841538824
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1458000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1376904573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 NW 45TH ST",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330641610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 E OAKLAND PARK BLVD STE 502",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061617",
            "telephone_number": "954-488-2933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FURDELLA",
        "first_name": "JANINE",
        "middle_name": "Q",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-15",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "11170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alissa Fuller
• Erika Fuller
• Kelly Christina Fuller, DO
• Marina Fuller
• Tameka A. Fuller, P.T.
• Alexander David Furer, OD
• Margaret Maria Furman, MD
• Felice D. Fusca, L.C.S.W.
• Josie Fusco, ARNP
• Fusion Dialysis PD LLC

• Clinical Psychologist in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; 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.

Verify at the official NPI Registry.