Organization Active NPI

Gail Lois Jaffe, PA

  • Counselor
  • Vero Beach, FL
National Provider Identifier
1689042269
Registry record updated Sep 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
MH000312 Issued in FL
Legal business name
GAIL LOIS JAFFE, PA
Practice address
333 17TH St
Suite 2T
Vero Beach, FL 32960-5670
Phone
(772) 564-0406
NPI assigned
Sep 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2015

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

Authorized official

Name
Ms. Gail Lois Satuloff
Title
President
Phone
(772) 569-6826

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X MH000312 FL Primary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X MH000312 FL
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X MH000312 FL

Addresses

Primary practice location

333 17TH St
Suite 2T
Vero Beach, FL 32960-5670

Mailing address

333 17TH St
Suite 2T
Vero Beach, FL 32960-5670
Phone (772) 564-0406

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1442016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442016000000",
    "number": "1689042269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 17TH ST",
            "address_2": "SUITE 2T",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329605670",
            "telephone_number": "772-564-0406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 17TH ST",
            "address_2": "SUITE 2T",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329605670",
            "telephone_number": "772-564-0406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAIL LOIS JAFFE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-12",
        "last_updated": "2015-09-12",
        "status": "A",
        "authorized_official_last_name": "SATULOFF",
        "authorized_official_first_name": "GAIL",
        "authorized_official_middle_name": "LOIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-569-6826",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "FL",
            "license": "MH000312",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH000312",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "MH000312",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2015; 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.