Organization Active NPI

Jennifer E Reedy PHD PA

  • Psychologist
  • Pembroke Pines, FL
National Provider Identifier
1801811724
Registry record updated Jul 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY5537 Issued in FL
Legal business name
JENNIFER E REEDY PHD PA
Practice address
2231 N University Dr
Suite C
Pembroke Pines, FL 33024-3611
Phone
(954) 989-8818
Fax
(954) 989-8812
NPI assigned
Jul 13, 2006
Last updated
Jul 17, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2007

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

Authorized official

Name
Dr. Jennifer E Reedy, PHD
Title
Licensed Psychologist
Phone
(954) 989-8818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY5537 FL Primary

Addresses

Primary practice location

2231 N University Dr
Suite C
Pembroke Pines, FL 33024-3611

Mailing address

2231 N University Dr
Suite C
Pembroke Pines, FL 33024-3611
Phone (954) 989-8818

National Provider Directory

National Provider Directory

Locations

2231 N University Dr
Ste C
Pembroke Pines, FL 33024
Phone (954) 433-2590

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184630400000",
    "number": "1801811724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2231 N UNIVERSITY DR",
            "address_2": "SUITE C",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330243611",
            "telephone_number": "954-989-8818",
            "fax_number": "954-989-8812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2231 N UNIVERSITY DR",
            "address_2": "SUITE C",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330243611",
            "telephone_number": "954-989-8818",
            "fax_number": "954-989-8812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER E REEDY PHD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2007-07-17",
        "status": "A",
        "authorized_official_last_name": "REEDY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "954-989-8818",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY5537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; 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.