Jose Nadine Garcon

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY7571 Issued in FL

Practice address

2501 S Palm Ave Ste 1-212
Miramar, FL 33025-5091

Phone

(954) 404-7052

Fax

(954) 435-5982

NPI assigned

Sep 25, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• JNG Health Network PA

  • Clinical Psychologist
  • Pembroke Pines, FL
  • NPI 1932350089
  Medicare reassignment NPD
• Simone Psychcare LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Miramar, FL
  • NPI 1134050487
  NPD (past)
• Y a Consulting & Services, Inc

  • Case Management Agency
  • Miramar, FL
  • NPI 1124104401
  NPD (past)

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1609063544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 SW 167TH AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330271422",
            "telephone_number": "305-724-8040",
            "fax_number": "954-435-5982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 S PALM AVE STE 1-212",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330255091",
            "telephone_number": "954-404-7052",
            "fax_number": "954-435-5982"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "419 W 49th St Ste 210",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330123657",
            "country_code": "US",
            "telephone_number": "305-724-8040",
            "fax_number": "954-435-5982",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5440 N State Road 7 Ste 208",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333192900",
            "country_code": "US",
            "telephone_number": "954-404-7052",
            "fax_number": "954-435-5982",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCON",
        "first_name": "JOSE NADINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-25",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY 7571",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY7571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "http://jnghealth.com/index.php/contact-us",
            "affiliation": "N",
            "address_1": "419 W 49th St Ste 210",
            "city": "Hialeah",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330123657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Maria M Garcia, TECHNOLOGIST
• Mariana Garcia
• Nilda Garcia, SLPA
• Sonia E. Garcia, PT
• Victoria Garcia, BCBA
• Gardenia Womens Mental Health Network Inc
• Ana Luz Gardner
• Johan Isaiah Garel, P.A.
• Demetria Andrea Garland
• Ana Maria Garzon Vargas

• Psychologist in Miramar, FL
• Providers in Miramar, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.