Organization Active NPI

Janolyn Gregg PHD PA

  • Psychologist
  • Weston, FL
National Provider Identifier
1407064462
Registry record updated Apr 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY4483 Issued in FL
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

Updated by the provider on Apr 22, 2015

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

Authorized official

Name
Janolyn Gregg, PHD PANPI 1407912363
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)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20150813009382 FL Part B Supplier - Clinic/Group Practice 2769797299 Receives reassigned benefits from 1 practitioner
Practice locations: Weston, FL

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.