Individual provider Active NPI

Patricia Janson, PSY.D.

  • Psychologist
  • Boca Raton, FL
National Provider Identifier
1568560274
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY6013 Issued in FL
Practice address
7000 W Palmetto Park Rd
Suite 407
Boca Raton, FL 33433-3424
Phone
(561) 347-0997
Fax
(561) 347-0996
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY6013 FL Primary

Addresses

Primary practice location

7000 W Palmetto Park Rd
Suite 407
Boca Raton, FL 33433-3424

Mailing address

12214 Rockledge Cir
Boca Raton, FL 33428-4810
Phone (561) 488-1290

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mindpath Health Florida, PLLC Psychologist CurrentSince Dec 29, 2010 Accepting new patients

Locations

7000 W Palmetto Park Rd
Ste 407
Boca Raton, FL 33433
Phone (954) 227-2700

1725 N University Dr
Ste 350
Coral Springs, FL 33071
Phone (954) 227-2700

1890 N University Dr
Ste 215
Coral Springs, FL 33071
Phone (954) 227-2700

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568560274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12214 ROCKLEDGE CIR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334284810",
            "telephone_number": "561-488-1290",
            "fax_number": "561-488-1281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 W PALMETTO PARK RD",
            "address_2": "SUITE 407",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333424",
            "telephone_number": "561-347-0997",
            "fax_number": "561-347-0996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANSON",
        "first_name": "PATRICIA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY6013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.