Organization Active NPI

Patricia Jaegerman, Psy.D.

  • Psychologist
  • Hollywood, FL
National Provider Identifier
1861803363
Registry record updated May 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
PATRICIA JAEGERMAN, PSY.D.
Practice address
2450 Hollywood Blvd
Suite 200a
Hollywood, FL 33020-6619
Phone
(954) 325-4853
NPI assigned
May 19, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2014

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

Authorized official

Name
Maria Cuevas
Title
Billing Adminisrator
Phone
(305) 675-9200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

2450 Hollywood Blvd
Suite 200a
Hollywood, FL 33020-6619

Mailing address

2450 Hollywood Blvd
Suite 200a
Hollywood, FL 33020-6619
Phone (954) 325-4853

National Provider Directory

National Provider Directory
Tax ID family
Lighthouse Psychologists LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2450 Hollywood Blvd
Ste 200A
Hollywood, FL 33020
Phone (786) 471-2739

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1400457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400457600000",
    "number": "1861803363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 HOLLYWOOD BLVD",
            "address_2": "SUITE 200A",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330206619",
            "telephone_number": "954-325-4853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 HOLLYWOOD BLVD",
            "address_2": "SUITE 200A",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330206619",
            "telephone_number": "954-325-4853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA JAEGERMAN, PSY.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-19",
        "last_updated": "2014-05-19",
        "status": "A",
        "authorized_official_last_name": "CUEVAS",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "BILLING ADMINISRATOR",
        "authorized_official_telephone_number": "305-675-9200"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.