Individual provider Active NPI

Janny N Jinor, LICSW, PHD

  • Psychologist
  • Cary, NC
National Provider Identifier
1689997991
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
3434 Kildaire Farm Rd Ste 711
Cary, NC 27518-2277
Phone
(910) 805-2740
Fax
(910) 939-1674
NPI assigned
Mar 2, 2010
Last updated
Nov 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NU Primary
Clinical Social Worker 1041C0700X C008887 NC

Addresses

Primary practice location

3434 Kildaire Farm Rd Ste 711
Cary, NC 27518-2277

Mailing address

3434 Kildaire Farm Rd Ste 711
Cary, NC 27518-2277
Phone (910) 805-2740

Other practice location 1

3434 Kildaire Farm Rd Ste 711
Cary, NC 27518-2277
Phone (301) 437-9666

Other identifiers 1

IdentifierTypeStateIssuer
LC200002789OtherDCDC BOARD OF SOCIAL WORKERS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, AZ, DC3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20210911000193 NC Practitioner - Clinical Social Worker 3678979929 Reassigns benefits to 1 organization
I20250415003030 AZ Practitioner - Clinical Social Worker 3678979929 Reassigns benefits to 1 organization
I20250416003553 DC Practitioner - Clinical Social Worker 3678979929 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

20 E Thomas Rd
Suite 2200
Phoenix, AZ 85012-3133
Phone (866) 630-0966

601 Pennsylvania Ave NW
Suite 900
Washington, DC 20004-2601
Phone (866) 630-0966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind PC Psychologist CurrentSince Apr 1, 2025 Accepting new patients
Miralife Teletherapist Clinical Current Accepting new patients
Miralife Tele-Therapist Clinical Current Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince Apr 7, 2025 Accepting new patients
Fountain Therapeutic and Supportive Services LLC Clinical Past Accepting new patients

Locations

20 E Thomas Rd
Ste 2200
Phoenix, AZ 85012
Phone (310) 515-8113

601 Pennsylvania Ave NW
Ste 900
Washington, DC 20004
Phone (240) 586-3538

3434 Kildaire Farm Rd
Ste 711
Cary, NC 27518
Phone (301) 437-9666

2530 Meridian Pkwy
Fl 3
Durham, NC 27713
Phone (919) 389-7316

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1267488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1689997991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3434 KILDAIRE FARM RD STE 711",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275182277",
            "telephone_number": "910-805-2740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3434 KILDAIRE FARM RD STE 711",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275182277",
            "telephone_number": "910-805-2740",
            "fax_number": "910-939-1674"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3434 Kildaire Farm Rd Ste 711",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275182277",
            "country_code": "US",
            "telephone_number": "301-437-9666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JINOR",
        "first_name": "JANNY",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "LICSW, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-02",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C008887",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DC BOARD OF SOCIAL WORKERS",
            "identifier": "LC200002789",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.