Individual provider Active NPI

Jennifer Vazquez-O'Farril, PSYD

  • Psychologist
  • Pembroke Pines, FL
National Provider Identifier
1831741735
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
10478 Issued in FL
Practice address
800 E Cypress Dr
Pembroke Pines, FL 33025-4543
Phone
(954) 392-3000
NPI assigned
Jul 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 10478 FL Primary

Addresses

Primary practice location

800 E Cypress Dr
Pembroke Pines, FL 33025-4543

Mailing address

2301 SW 27TH Ave Apt 1002
Miami, FL 33145-3673
Phone (561) 339-3477

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jevazquez@wellpath.us FLORIDA DEPARTMENT OF CHILDREN AND FAMILIES

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
10478FLMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1831741735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 SW 27TH AVE APT 1002",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331453673",
            "telephone_number": "561-339-3477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E CYPRESS DR",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330254543",
            "telephone_number": "954-392-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ-O'FARRIL",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-10",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "10478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jevazquez@wellpath.us",
            "affiliation": "Y",
            "affiliationName": "FLORIDA DEPARTMENT OF CHILDREN AND FAMILIES",
            "address_1": "800 E Cypress Dr",
            "city": "Pembroke Pines",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330254543",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Nov 27, 2023; 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.