Active NPI
Jennifer Resetar Volz, PH.D.
- Psychologist
- Miami, FL
National Provider Identifier
1629123799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1080
- Practice address
- 7481 SW 125TH Ave
Miami, FL 33183-3505 - Phone
- (302) 562-9595
- NPI assigned
- Jan 25, 2007
- Reactivated
- Dec 9, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1080 | FL | Primary |
| Psychologist | 103T00000X | 1342 | LA |
Addresses
Primary practice location
7481 SW 125TH Ave
Miami, FL 33183-3505
Mailing address
7481 SW 125TH Ave
Miami, FL 33183-3505
Phone (302) 562-9595
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1342 | LA | MD | Addiction (Substance Use Disorder) Counselor |
| 1080 | FL | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639008000000",
"number": "1629123799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7481 SW 125TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331833505",
"telephone_number": "302-562-9595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7481 SW 125TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331833505",
"telephone_number": "302-562-9595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VOLZ",
"first_name": "JENNIFER",
"middle_name": "RESETAR",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-25",
"last_updated": "2021-12-09",
"certification_date": "2021-12-09",
"deactivation_date": "2011-08-30",
"reactivation_date": "2021-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "FL",
"license": "1080",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "LA",
"license": "1342",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.