Jam Holding USA LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

JAM HOLDING USA LLC

Practice address

4000 Hollywood Blvd Ste 547
Hollywood, FL 33021-6751

Phone

(352) 262-9036

NPI assigned

Feb 5, 2021

Organization subpart

No

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

Authorized official

Name

Malka Livingston

Title

MGR

Phone

(352) 262-9036

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1612483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612483200000",
    "number": "1609468289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 NE 183RD LN",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331604905",
            "telephone_number": "352-262-9036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 HOLLYWOOD BLVD STE 547",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216751",
            "telephone_number": "352-262-9036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAM HOLDING USA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-05",
        "last_updated": "2021-02-05",
        "certification_date": "2021-02-05",
        "status": "A",
        "authorized_official_last_name": "LIVINGSTON",
        "authorized_official_first_name": "MALKA",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "352-262-9036"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Jaffe, M.D.
• Tanzilla Jahan, LMHC
• Jaime J Rodriguez MD Inc
• Barbara J Jaime, APRN
• Jakoubswellness, Inc.
• Evans Jamero
• James a Krisel OD PA
• James a. Krisel OD, PA
• James M Beranek OD PA
• Jaime Bianca James-Sylvain, APRN

• Mental Health Clinic/Center (Including Community Mental Health Center) in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2021; 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.