Jennifer Ellen Ackrish, PSY.D.
Individual provider Active NPI Clinical Psychologist · Parkland, FL
NPI 1679974877 · NPPES record last updated Apr 21, 2021
Key facts
- NPI
- 1679974877
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- PY 9129 (FL)
- Practice address
- 11295 NW 71St CT
Parkland, FL 33076-3851 - Phone
- (561) 299-0483
- Fax
- (954) 566-1186
- NPI assigned
- Sep 8, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
11295 NW 71St CT
Parkland, FL 33076-3851
Phone (561) 299-0483
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150408000420 | FL | Practitioner - Clinical Psychologist | 8325366172 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY 9129 | FL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jennifer Ackrish, Psy.D. LLC | Clinical | Current |
Accepting new patients |
Locations
915 Middle River Dr
Ste 410
Ft Lauderdale, FL 33304
Phone (754) 800-2345
915 Middle River Dr
Ste 307
Ft Lauderdale, FL 33304
Phone (954) 566-2166
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY 9129 | FL | Yes |
Addresses
Primary practice location
11295 NW 71St CT
Parkland, FL 33076-3851
Mailing address
11295 NW 71St CT
Parkland, FL 33076-3851
Phone (561) 299-0483
Other practice location 1
915 Middle River Dr Ste 307
Fort Lauderdale, FL 33304-3560
Phone (561) 299-0483
Other providers in Parkland, FL
- 007 Smiles, Inc
- 3 W Healthcare LLC
- 5882 Parkland Alf LLC
- Marjorie Ann Abel
- Pamella Abghari
- April Adler
- Advanced Surgery Institute LLC
- Ae Nursing Services LLC
- Bhanu Sree Alapati
- Guerbie Alcime
All providers in Parkland, FL · Clinical Psychologist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 21, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.