Jeannette Corredor, PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

PY7717 Issued in FL

Practice address

6442 Commerce Park Dr
Suite #1
Fort Myers, FL 33966-4723

Phone

(239) 768-6500

Fax

(239) 768-6421

NPI assigned

Apr 26, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396483200000",
    "number": "1801016324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6442 COMMERCE PARK DR",
            "address_2": "SUITE 1",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339664723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6442 COMMERCE PARK DR",
            "address_2": "SUITE #1",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339664723",
            "telephone_number": "239-768-6500",
            "fax_number": "239-768-6421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORREDOR",
        "first_name": "JEANNETTE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2014-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "FL",
            "license": "PY7717",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NY",
            "license": "016181-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samaris Berenice Corona, MD
• Jody Paitra Mohle Corr, PT DPT
• Brian Correa
• Eduardo Monteiro Correa, D.D.S.
• Corrective Spinal Care of Florida, P.a.
• Megan Corredor, APRN
• Raul Gustavo Corredor, M.D.
• Christina Correia
• George F Corrent, MD, PHD
• Gary J. Correnti, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2014; 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.