JC Psychological Associates Inc

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY7114 Issued in FL

Legal business name

JC PSYCHOLOGICAL ASSOCIATES INC

Practice address

9700 Stirling Rd Ste 105B
Hollywood, FL 33024-8011

Phone

(954) 589-0162

Fax

(954) 212-6100

NPI assigned

Feb 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Joseph A. Ciavarella Jr., PSY.D.

Title

President

Phone

(954) 589-0162

Specialties & licenses 1

Addresses

Other names 2

• A. D. A. P. T. Doing business as
• ADAPT Doing business as

Locations

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1598890659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9700 STIRLING RD STE 105B",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330248011",
            "telephone_number": "954-589-0162",
            "fax_number": "954-212-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 STIRLING RD STE 105B",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330248011",
            "telephone_number": "954-589-0162",
            "fax_number": "954-212-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JC PSYCHOLOGICAL ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CIAVARELLA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-589-0162",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY7114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A. D. A. P. T.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ADAPT",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ADAPT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jay S Mendelsohn MD PA
• Jay S. Chandar, MD, PA
• Kaimal Anitha Jayakumar, M.D.
• Jaylorin Group Inc
• JC Penney Corporation Inc
• JC'S Recovery Center, LLC
• JCP Equipment and Supplies Inc
• Silfida Jean Baptiste
• Wendy Jean Francois
• Marc Jean-Baptiste, MD

• Clinical Psychologist in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.