Dr. Jessica B. Kordansky, PA

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY8369 Issued in FL

Legal business name

DR. JESSICA B. KORDANSKY, PA

Practice address

399 NW 2ND Ave
Suite 202
Boca Raton, FL 33432-3845

Phone

(561) 318-1743

Fax

(561) 953-9238

NPI assigned

Nov 26, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Jessica B. Kordansky, PHDNPI 1104107937

Title

President

Phone

(404) 452-7841

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Barrett Kordansky, PHD

  • Counseling Psychologist
  • Boca Raton, FL
  • NPI 1104107937
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1385424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393459200000",
    "number": "1487084596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 NW 2ND AVE",
            "address_2": "SUITE 202",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334323845",
            "telephone_number": "561-318-1743",
            "fax_number": "561-953-9238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 NW 2ND AVE",
            "address_2": "SUITE 202",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334323845",
            "telephone_number": "561-318-1743",
            "fax_number": "561-953-9238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JESSICA B. KORDANSKY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-26",
        "last_updated": "2014-02-27",
        "status": "A",
        "authorized_official_last_name": "KORDANSKY",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-452-7841",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY8369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; 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.