Active NPI
Jennifer Oseroff, EDS
- School Psychologist
- Fort Myers, FL
National Provider Identifier
1427621507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- SS1340
- Practice address
- 12641 World Plaza LN BLDG 56
Fort Myers, FL 33907-3990 - Phone
- (239) 247-1756
- NPI assigned
- Jul 19, 2021
- Last updated
- Jul 19, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | SS1340 | FL | Primary |
Addresses
Primary practice location
12641 World Plaza LN BLDG 56
Fort Myers, FL 33907-3990
Mailing address
2650 71St Cir Apt 201
Vero Beach, FL 32966-8961
Phone (850) 766-1988
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SS1340 | FL | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Katz Counseling and Educational Psychology | School | Current | Accepting new patients |
Locations
12641 World Plaza Ln
Bldg 56
Fort Myers, FL 33907
Phone (239) 247-1756
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626652800000",
"number": "1427621507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2650 71ST CIR APT 201",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329668961",
"telephone_number": "850-766-1988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12641 WORLD PLAZA LN BLDG 56",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339073990",
"telephone_number": "239-247-1756"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSEROFF",
"first_name": "JENNIFER",
"credential": "EDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-19",
"last_updated": "2021-07-19",
"certification_date": "2021-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "FL",
"license": "SS1340",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.