Jennifer Ann Pupard, LICENSED PSYCHOLOGIS

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY 9467 Issued in FL

Practice address

3279 Clint Moore Rd Apt 206
Boca Raton, FL 33496-3932

Phone

(989) 501-1796

NPI assigned

Feb 18, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jennifer Ann Scheuchenzuber Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1424217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511308800000",
    "number": "1629469200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3279 CLINT MOORE RD APT 206",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334963932",
            "telephone_number": "989-501-1796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3279 CLINT MOORE RD APT 206",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334963932",
            "telephone_number": "989-501-1796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUPARD",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "credential": "LICENSED PSYCHOLOGIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-18",
        "last_updated": "2017-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "FL",
            "license": "SS1215",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY 9467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "SCHEUCHENZUBER",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• John Puls
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• Joseph Robert Purita, M.D.
• Quadcare LLC

• Psychologist in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2017; 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.