Jackie Twitchell, Psy.D., P.a.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY5030 Issued in FL

Legal business name

JACKIE TWITCHELL, PSY.D., P.A.

Practice address

8192 College Pkwy
BLDG a, Ste 21
Fort Myers, FL 33919-5175

Phone

(239) 275-9353

Fax

(239) 466-3390

NPI assigned

Oct 31, 2010

Last updated

Dec 2, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jackie A Twitchell, PSY.D.

Title

President

Phone

(239) 275-9353

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1288483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291248000000",
    "number": "1750681268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8192 COLLEGE PKWY",
            "address_2": "BLDG A, STE 21",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339195175",
            "telephone_number": "239-275-9353",
            "fax_number": "239-466-3390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8192 COLLEGE PKWY",
            "address_2": "BLDG A, STE 21",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339195175",
            "telephone_number": "239-275-9353",
            "fax_number": "239-466-3390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKIE TWITCHELL, PSY.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-31",
        "last_updated": "2010-12-02",
        "status": "A",
        "authorized_official_last_name": "TWITCHELL",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-275-9353",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY5030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J. B. Bradley, D.C., P.a.
• J.P. Medical Supply. Inc
• Paul Jachimek Jr., PA-C
• Jack Lomano MD
• Jennifer R Jack, CPNP
• Chad Edwin Jackson, MS, ATC
• Claudette F Jackson, PAC
• Jocelyn Jackson, ARNP
• John Eric Jackson, M.D.
• Keith Jackson

• Clinical Psychologist in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; 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.