Individual provider Active NPI

Ann Tierney Jaronski, PH.D.

  • Counseling Psychologist
  • Gainesville, FL
National Provider Identifier
1508821075
Registry record updated Sep 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
7435 Issued in OH
Practice address
1 Fletcher Drive
SHCC, RM 245
Gainesville, FL 32611-7500
Phone
(352) 392-1171
Fax
(352) 846-1030
NPI assigned
Apr 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY6057 FL
Counseling Psychologist 103TC1900X 7435 OH Primary

Addresses

Primary practice location

1 Fletcher Drive
SHCC, RM 245
Gainesville, FL 32611-7500

Mailing address

One University Plaza
Youngstown State University Student Counseling
Youngstown, OH 44555
Phone (330) 941-4731

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY6057FLMDPsychologist
7435OHMDCounseling Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473638400000",
    "number": "1508821075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE UNIVERSITY PLAZA",
            "address_2": "YOUNGSTOWN STATE UNIVERSITY STUDENT COUNSELING",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "44555",
            "telephone_number": "330-941-4731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 FLETCHER DRIVE",
            "address_2": "SHCC, RM 245",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326117500",
            "telephone_number": "352-392-1171",
            "fax_number": "352-846-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARONSKI",
        "first_name": "ANN",
        "middle_name": "TIERNEY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-19",
        "last_updated": "2016-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY6057",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "OH",
            "license": "7435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2016; 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.