Christine Jean, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY6942 Issued in FL

Practice address

4591 E Highway 20 Ste 202H
Niceville, FL 32578-8854

Phone

(561) 223-1727

Fax

(561) 584-7551

NPI assigned

Sep 19, 2006

Last updated

May 31, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Psychconcepts, Inc

  • Psychologist
  • Niceville, FL
  • NPI 1851082374
  NPD Authorized official
• A Alliance for Psychological Services

  • Family Psychologist
  • Miami, FL
  • NPI 1154428639
  NPD (past)
• Center for Clinical & Forensic Psychology Inc

  • Clinical Psychologist
  • Plantation, FL
  • NPI 1265459275
  NPD (past)

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

{
    "created_epoch": "1158624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1699872176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6619 S DIXIE HWY # 196",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331437919",
            "telephone_number": "561-223-1727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4591 E HIGHWAY 20 STE 202H",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325788854",
            "telephone_number": "561-223-1727",
            "fax_number": "561-584-7551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEAN",
        "first_name": "CHRISTINE",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-19",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY6942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• James D. Hemmig, O.D., P.a.
• Sarah Jensen
• Amy Fetters Jimenez, IBCLC
• Lauren Jobson
• Joe Palmer Chiropractic LLC.
• Harry F Johnson, PA-C

• Psychologist in Niceville, FL
• Providers in Niceville, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; 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.