Active NPI
Danielle Renee Jahn, PH.D.
- Clinical Psychologist
- Gainesville, FL
National Provider Identifier
1902282486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY9638
- Practice address
- 605 NE 1St St
Gainesville, FL 32601-3339 - Phone
- (352) 371-3212
- NPI assigned
- Aug 6, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY9638 | FL | Primary |
| Clinical Psychologist | 103TC0700X | 05549 | MD |
Addresses
Primary practice location
605 NE 1St St
Gainesville, FL 32601-3339
Mailing address
2122 NW 52ND PL
Gainesville, FL 32605-5458
Phone (410) 698-2402
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY9638 | FL | MD | Clinical Psychologist |
| 05549 | MD | MD | Speech-Language Pathologist |
Interoperability endpoints
- danielle.jahn.1@30520.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475107200000",
"number": "1902282486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2122 NW 52ND PL",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326055458",
"telephone_number": "410-698-2402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 NE 1ST ST",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326013339",
"telephone_number": "352-371-3212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAHN",
"first_name": "DANIELLE",
"middle_name": "RENEE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-06",
"last_updated": "2016-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY9638",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "05549",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.