Active NPI
Jaimie St Ama, PSY.D.
- Counselor
- Jupiter, FL
National Provider Identifier
1528474111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 345 Jupiter Lakes Blvd
302A
Jupiter, FL 33458-7100 - Phone
- (561) 429-2397
- NPI assigned
- Jul 3, 2014
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
345 Jupiter Lakes Blvd
302A
Jupiter, FL 33458-7100
Mailing address
345 Jupiter Lakes Blvd
302A
Jupiter, FL 33458-7100
Phone (561) 429-2397
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PY 9622 | Other | FL | LICENSE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471651200000",
"number": "1528474111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "345 JUPITER LAKES BLVD",
"address_2": "302A",
"city": "JUPITER",
"state": "FL",
"postal_code": "334587100",
"telephone_number": "561-429-2397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 JUPITER LAKES BLVD",
"address_2": "302A",
"city": "JUPITER",
"state": "FL",
"postal_code": "334587100",
"telephone_number": "561-429-2397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ST AMA",
"first_name": "JAIMIE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-03",
"last_updated": "2016-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "PY 9622",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jupiter, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.