Active NPI
Joycelyn Honoria Vanterpool, MD
- Psychiatry Physician
- Gainesville, FL
National Provider Identifier
1710998471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME84771
- Practice address
- 8203 NW 31St Ave
Apt. E-25
Gainesville, FL 32606-6289 - Phone
- (352) 682-5695
- NPI assigned
- Aug 10, 2006
- Last updated
- Nov 21, 2014
- 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 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | ME84771 | FL | Primary |
| Psychiatry Physician | 2084P0800X | 50744 | GA | |
| Psychiatry Physician | 2084P0800X | 237423 | NY | |
| Psychiatry Physician | 2084P0800X | E-3342 | AR | |
| Geriatric Psychiatry Physician | 2084P0805X | ME84771 | FL | |
| Geriatric Psychiatry Physician | 2084P0805X | 50744 | GA | |
| Geriatric Psychiatry Physician | 2084P0805X | 237423 | NY |
Addresses
Primary practice location
8203 NW 31St Ave
Apt. E-25
Gainesville, FL 32606-6289
Mailing address
8203 NW 31St Ave
Apt. E-25
Gainesville, FL 32606-6289
Phone (352) 682-5695
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 267637100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-3342 | AR | MD | Psychiatry Physician |
| 237423 | NY | MD | Psychiatry Physician |
| ME84771 | FL | MD | Geriatric Psychiatry Physician |
| 50744 | GA | MD | Geriatric Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coney Island Medical Practice Plan, P.C. | Current | Accepting new patients | |
| Life Management of NW FL, Inc. | Psychiatry | Past | Accepting new patients |
| Life Management of NW FL, Inc. | Psychiatry | Past | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Psychiatric Group of the Coastal Empire, Inc. | Psychiatry | Past | Accepting new patients |
| Life Management Center of Northwest Florida Inc | Psychiatry | Past | Accepting new patients |
| Richmond University Medical Center | Past | Accepting new patients |
Locations
2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354
Interoperability endpoints
- jvanterpool243124@nychhc.direct-ci.com
Organizations & group practices 7
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.
-
- General Practice Physician
- Brooklyn, NY
- NPI 1386951762
-
- Psychiatry Physician
- Blountstown, FL
- NPI 1659301877
-
dba Life Management Center of Northwest Florida Inc
- Psychiatry Physician
- Marianna, FL
- NPI 1255367579
-
- Psychiatry Physician
- Port St Joe, FL
- NPI 1316977515
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Psychiatry Physician
- Savannah, GA
- NPI 1598855355
-
- Multi-Specialty Clinic/Center
- Staten Island, NY
- NPI 1811054042
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416528000000",
"number": "1710998471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8203 NW 31ST AVE",
"address_2": "APT. E-25",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326066289",
"telephone_number": "352-682-5695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8203 NW 31ST AVE",
"address_2": "APT. E-25",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326066289",
"telephone_number": "352-682-5695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANTERPOOL",
"first_name": "JOYCELYN",
"middle_name": "HONORIA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-10",
"last_updated": "2014-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME84771",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "GA",
"license": "50744",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "237423",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AR",
"license": "E-3342",
"primary": false
},
{
"code": "2084P0805X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": "FL",
"license": "ME84771",
"primary": false
},
{
"code": "2084P0805X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": "GA",
"license": "50744",
"primary": false
},
{
"code": "2084P0805X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": "NY",
"license": "237423",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "267637100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.