Active NPI
Janolyn Gregg PHD PA
- Psychologist
- Weston, FL
National Provider Identifier
1407064462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY4483
- Legal business name
- JANOLYN GREGG PHD PA
- Practice address
- 1625 N Commerce Pkwy
Suite 200
Weston, FL 33326-3216 - Phone
- (954) 385-0353
- Fax
- (954) 389-0886
- NPI assigned
- May 21, 2007
- 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
- Janolyn Gregg, PHD PA
- Title
- President
- Phone
- (954) 385-0353
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PY4483 | FL | Primary |
Addresses
Primary practice location
1625 N Commerce Pkwy
Suite 200
Weston, FL 33326-3216
Mailing address
1625 N Commerce Pkwy
Suite 200
Weston, FL 33326-3216
Phone (954) 385-0353
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1625 N Commerce Pkwy
Ste 200
Weston, FL 33326
Phone (954) 385-0353
1825 Main St
Ste 29
Weston, FL 33326
Phone (954) 385-0353
Networks
- HealthSun Health Plans Network
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Weston, FL
- NPI 1407912363
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1429660800000",
"number": "1407064462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1625 N COMMERCE PKWY",
"address_2": "SUITE 200",
"city": "WESTON",
"state": "FL",
"postal_code": "333263216",
"telephone_number": "954-385-0353",
"fax_number": "954-389-0886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1625 N COMMERCE PKWY",
"address_2": "SUITE 200",
"city": "WESTON",
"state": "FL",
"postal_code": "333263216",
"telephone_number": "954-385-0353",
"fax_number": "954-389-0886"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JANOLYN GREGG PHD PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-21",
"last_updated": "2015-04-22",
"status": "A",
"authorized_official_last_name": "GREGG",
"authorized_official_first_name": "JANOLYN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "954-385-0353",
"authorized_official_credential": "PHD PA"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": "FL",
"license": "PY4483",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Weston, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.