Organization Active NPI

Jemm Medical Group, LLC

  • Psychologist
  • West Palm Beach, FL
National Provider Identifier
1497187108
Registry record updated Jul 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
JEMM MEDICAL GROUP, LLC
Practice address
300 Butler St
West Palm Beach, FL 33407-6006
Phone
(954) 746-8232
Fax
(954) 746-8232
NPI assigned
Aug 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2014

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

Authorized official

Name
Theresa Smith
Title
Billing Office
Phone
(954) 746-8232

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

300 Butler St
West Palm Beach, FL 33407-6006

Mailing address

PO Box 8678
West Palm Beach, FL 33407-0678
Phone (954) 746-8232

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1375660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406505600000",
    "number": "1497187108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8678",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334070678",
            "telephone_number": "954-746-8232",
            "fax_number": "954-746-8231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BUTLER ST",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334076006",
            "telephone_number": "954-746-8232",
            "fax_number": "954-746-8232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEMM MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-05",
        "last_updated": "2014-07-28",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "BILLING OFFICE",
        "authorized_official_telephone_number": "954-746-8232"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.