Jerri V Sendach, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY8740 Issued in FL

Practice address

11805 Watercrest LN
Boca Raton, FL 33498-6214

Phone

(561) 212-9818

NPI assigned

May 9, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Jerri Vandenberg Former name

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jerri Sendach PH.D, Inc

  • Psychologist
  • Boca Raton, FL
  • NPI 1659183069
  Medicare reassignment NPD Authorized official
• Mindpath Health Florida, PLLC

  • Psychiatry Physician
  • Coral Springs, FL
  • NPI 1467467266

  Clinical

  Medicare reassignment NPD

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

{
    "created_epoch": "1368057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368057600000",
    "number": "1518302009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11805 WATERCREST LN",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334986214",
            "telephone_number": "561-212-9818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11805 WATERCREST LN",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334986214",
            "telephone_number": "561-212-9818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENDACH",
        "first_name": "JERRI",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-09",
        "last_updated": "2013-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY8740",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "008821",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JERRI",
            "last_name": "VANDENBERG",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kimberly Schnittman Seman, DPT
• Lewis Howard Semel, M.D.
• Genese Semey
• Jasmine Fay Senatus, PA-C
• Niomi Senatus, ARNP
• Cenk Sengun, M.D.
• Senior Aides Services of Boca Raton LLC (SAS of Boca Raton)
• Senior Care Solutions 9 LLC (Senior Care Solutions)
• Senior Medical Solutions LLC
• Senior Mobile Wound Care of South Florida LLC

• 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 May 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.