Jennifer Anne Fleeman, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY9336 Issued in FL

Practice address

1411 N West Shore Blvd
Tampa, FL 33607-4515

Phone

(813) 844-3541

NPI assigned

Apr 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Miss Jennifer Anne Badgley Former name

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Tampa General Medical Group IncGroup PAC ID 7416253828, 353 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Tampa General Medical Group Inc

  • Surgery Physician
  • Tampa, FL
  • NPI 1043557853

  Clinical

  Medicare reassignment Care Compare group NPD
• Florida Health Sciences Center Inc

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1235196510
  Medicare reassignment NPD
• Cognitive Solutions, PLLC

  • Clinical Neuropsychologist
  • Rochester, NY
  • NPI 1659604387
  NPD (past) Authorized official
• Tampa General Medical Group Inc

  • Cardiovascular Disease Physician
  • Sun City Center, FL
  • NPI 1144910316
  NPD
• Tampa General Medical Group Inc

  • Family Medicine Physician
  • Lithia, FL
  • NPI 1508273806
  NPD
• Tampa General Medical Group Inc

  • Clinical Psychologist
  • Tampa, FL
  • NPI 1174234355
  NPD (past)
• Psychiatry and Alzheimer'S Care of Rochester, PLLC

  • Adult Mental Health Clinic/Center
  • Rochester, NY
  • NPI 1821378365
  NPD (past)

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1790748416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4744 CHARLES PARTIN DR",
            "city": "PARRISH",
            "state": "FL",
            "postal_code": "342191242",
            "telephone_number": "727-510-2721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 N WEST SHORE BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336074515",
            "telephone_number": "813-844-3541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEEMAN",
        "first_name": "JENNIFER",
        "middle_name": "ANNE",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-11",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY9336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE NEUROPSYCH",
            "identifier": "121968FD",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02426277",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD GROUP",
            "identifier": "G0184796190",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE PSYCH",
            "identifier": "121968FC",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD INDIV",
            "identifier": "P010015572",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "BADGLEY",
            "middle_name": "ANNE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tiffany Ann Flannery, MA 51198
• Yanleri Nicole Flaquer
• Julie Fleck
• Sawyer Jeffrey Fleck, PA-C
• Susan Fleck, APRN
• Rebecca Michelle Fleenor, LCSW
• Michele Fleeter, DPM
• Jeannette Fleischer, ARNP
• Yisett Fleitas Barroso
• Yulier Fleitas Dominguez, PMHNP-BC, FNP-BC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.