Active NPI
Janice Marie Pimentel, PSY.D.
- Clinical Psychologist
- Jacksonville, FL
National Provider Identifier
1689970261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY7185
- Practice address
- 524 Skymarks Dr Unit 5
Jacksonville, FL 32218-7254 - Phone
- (904) 376-3800
- Fax
- (904) 396-8966
- NPI assigned
- Jan 31, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY7185 | FL | Primary |
Addresses
Primary practice location
524 Skymarks Dr Unit 5
Jacksonville, FL 32218-7254
Mailing address
PO Box 748519
Atlanta, GA 30374-8519
Phone (904) 376-3800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 89.95 of 100
- Quality
- 84.69
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.91
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742256000000",
"number": "1689970261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 748519",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303748519",
"telephone_number": "904-376-3800",
"fax_number": "904-376-3998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "524 SKYMARKS DR UNIT 5",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322187254",
"telephone_number": "904-376-3800",
"fax_number": "904-396-8966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIMENTEL",
"first_name": "JANICE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-31",
"last_updated": "2025-03-18",
"certification_date": "2025-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY7185",
"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 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.