Jennifer Slusarz-Conroy, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY7848 Issued in FL

Practice address

9951 Atlantic Blvd Ste 174
Jacksonville, FL 32225-6592

Phone

(863) 692-6802

NPI assigned

Sep 8, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Jennifer Veronica Slusarz Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Counseling Solutions of Northeast Florida Inc

  • Other Technician
  • Jacksonville, FL
  • NPI 1417352543
  NPD (past)

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

{
    "created_epoch": "1441670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441670400000",
    "number": "1790153757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4895 CREEK BLUFF LN",
            "city": "MIDDLEBURG",
            "state": "FL",
            "postal_code": "320688732",
            "telephone_number": "937-830-3017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9951 ATLANTIC BLVD STE 174",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322256592",
            "telephone_number": "863-692-6802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLUSARZ-CONROY",
        "first_name": "JENNIFER",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-08",
        "last_updated": "2015-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY7848",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.007274",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "SLUSARZ",
            "middle_name": "VERONICA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ronald Sloan, LCSW
• Vincent Joseph Slovan, D.M.D.
• Sharon C Slowik, RD CDE
• SLRC Jacksonville LLC
• SLS Caring Hands
• Brian Charles Slusser Jr., DPT
• Jason Sluzevich, MD
• Bernadette M. Smail, SLP
• Small Talk Inc
• Small Talk Inc

• Clinical Psychologist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2015; 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.