Active NPI
Sonia Javani, PSY.D.
- Psychologist
- Jacksonville, FL
National Provider Identifier
1689388977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY11698
- Practice address
- 820 Prudential Dr Ste 510
Jacksonville, FL 32207-8207 - Phone
- (904) 376-3800
- Fax
- (904) 390-7398
- NPI assigned
- Jan 11, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PY11698 | FL | Primary |
Addresses
Primary practice location
820 Prudential Dr Ste 510
Jacksonville, FL 32207-8207
Mailing address
11906 Boyette Rd
Riverview, FL 33569-5601
Other practice location 1
11906 Boyette Rd
Riverview, FL 33569-5601
Phone (813) 609-2034
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY11698 | FL | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711497600000",
"number": "1689388977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11906 BOYETTE RD",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335695601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 PRUDENTIAL DR STE 510",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322078207",
"telephone_number": "904-376-3800",
"fax_number": "904-390-7398"
}
],
"practiceLocations": [
{
"address_1": "11906 Boyette Rd",
"address_purpose": "LOCATION",
"city": "Riverview",
"state": "FL",
"postal_code": "335695601",
"country_code": "US",
"telephone_number": "813-609-2034",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JAVANI",
"first_name": "SONIA",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-11",
"last_updated": "2024-03-27",
"certification_date": "2024-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "FL",
"license": "PY11698",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.