Individual provider Active NPI

Joycelyn Honoria Vanterpool, MD

  • Psychiatry Physician
  • Gainesville, FL
National Provider Identifier
1710998471
Registry record updated Nov 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME84771 Issued in FL
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, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2014

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
267637100MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080320000134 NY Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 5193780161 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-3342ARMDPsychiatry Physician
237423NYMDPsychiatry Physician
ME84771FLMDGeriatric Psychiatry Physician
50744GAMDGeriatric Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coney Island Medical Practice Plan, P.C. CurrentSince Feb 28, 2017 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.