Active NPI
Jilleen M. Pannozzo, D.O., P.a.
- Geriatric Psychiatry Physician
- Boynton Beach, FL
National Provider Identifier
1649607136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Psychiatry Physician
- License
- OS0005928
- Legal business name
- JILLEEN M. PANNOZZO, D.O., P.A.
- Practice address
- 10301 Hagen Ranch Rd
Suite 7
Boynton Beach, FL 33437-3724 - Phone
- (561) 733-4469
- Fax
- (561) 733-6858
- NPI assigned
- Sep 30, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jilleen Marie Pannozzo, D.O.
- Title
- Psychiatrist
- Phone
- (561) 733-4469
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Psychiatry Physician | 2084P0805X | OS0005928 | FL | Primary |
Addresses
Primary practice location
10301 Hagen Ranch Rd
Suite 7
Boynton Beach, FL 33437-3724
Mailing address
10301 Hagen Ranch Rd
Suite 7
Boynton Beach, FL 33437-3724
Phone (561) 733-4469
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
10301 Hagen Ranch Rd
Ste 7
Boynton Beach, FL 33437
Phone (561) 733-4469
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Boynton Beach, FL
- NPI 1730272477
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380499200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1380499200000",
"number": "1649607136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10301 HAGEN RANCH RD",
"address_2": "SUITE 7",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334373724",
"telephone_number": "561-733-4469",
"fax_number": "561-733-6858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10301 HAGEN RANCH RD",
"address_2": "SUITE 7",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334373724",
"telephone_number": "561-733-4469",
"fax_number": "561-733-6858"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JILLEEN M. PANNOZZO, D.O., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2013-09-30",
"last_updated": "2013-09-30",
"status": "A",
"authorized_official_last_name": "PANNOZZO",
"authorized_official_first_name": "JILLEEN",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "PSYCHIATRIST",
"authorized_official_telephone_number": "561-733-4469",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "2084P0805X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": "FL",
"license": "OS0005928",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boynton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.