Dr Jackie PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

DR JACKIE PLLC

Practice address

8208 Venosa Haven Ter
Boynton Beach, FL 33473-5029

Phone

(561) 423-1811

NPI assigned

Nov 19, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Jacqueline Sabarese, PHDNPI 1295761138

Title

Psychologist

Phone

(631) 872-1198

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacqueline Sabarese, PHD

  • Clinical Psychologist
  • Boynton Beach, FL
  • NPI 1295761138
  NPD Authorized official

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

{
    "created_epoch": "1574121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574121600000",
    "number": "1639715287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8208 VENOSA HAVEN TER",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334735029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8208 VENOSA HAVEN TER",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334735029",
            "telephone_number": "561-423-1811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR JACKIE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-19",
        "last_updated": "2019-11-19",
        "status": "A",
        "authorized_official_last_name": "SABARESE",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "631-872-1198",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridgette Doyle, RN, MSN
• Dr Barry Kwasman DPM LLC
• Dr Beth S Frosch PA
• Dr Felix Raju PA
• Dr Freed & Associates PA
• Dr Nicole a Rothman, PA
• Dr Richard K Jackson PA
• Dr Victor S Koo M.D., P.a.
• Dr. Brian Rappaport P.a.
• Dr. David J. Abrams, PA

• Clinical Psychologist in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2019; 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.