Elena Josephina Akra, PSY.D
Individual provider Active NPI Clinical Psychologist · Jacksonville, FL
NPI 1720134414 · NPPES record last updated Aug 30, 2011
Key facts
- NPI
- 1720134414
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- PY6423 (FL)
- Practice address
- 1551 Atlantic Blvd
Suite 101
Jacksonville, FL 32207-3359 - Phone
- (904) 379-9327
- Fax
- (904) 379-3764
- NPI assigned
- Jan 26, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Akra Professional Services
Practice addresses (Care Compare)
1551 Atlantic Blvd
Suite 101
Jacksonville, FL 32207-3369
Phone (904) 379-9327
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111114000304 | FL | Practitioner - Clinical Psychologist | 4880868611 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Akra Professional Services | Current |
Accepting new patients |
Locations
1551 Atlantic Blvd
Ste 101
Jacksonville, FL 32207
Phone (904) 379-9327
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DDJCDD/Endpoint/DDJCDD
- https://fhir4.healow.com/fhir/r4/DDJCDD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY6423 | FL | Yes |
Addresses
Primary practice location
1551 Atlantic Blvd
Suite 101
Jacksonville, FL 32207-3359
Mailing address
1551 Atlantic Blvd
Suite 101
Jacksonville, FL 32207-3359
Phone (904) 379-9327
Other providers in Jacksonville, FL
- Jennette Akins-Jones
- Julie S Akiyama
- Andikan Akpabio
- Emmanuel I Akpabio
- Akra Professional Services
- Louis Anthony Akra
- Aksharbrahma PA
- Aiham Al Ashhab
- Mina Z. Al Awqati
- Roula Al Dib
All providers in Jacksonville, FL · Clinical Psychologist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 30, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.