Jacqueline E Barrett MD, PA

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

ME85154 Issued in FL

Legal business name

JACQUELINE E BARRETT MD, PA

Practice address

4651 Sheridan St Ste 450
Hollywood, FL 33021-3415

Phone

(954) 983-3355

NPI assigned

Jun 9, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Jacqueline E Barrett, MD

Title

President

Phone

(954) 983-3355

Specialties & licenses 3

Addresses

Other identifiers 1

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

{
    "created_epoch": "1276041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276041600000",
    "number": "1922328228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4651 SHERIDAN ST STE 450",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213415",
            "telephone_number": "954-983-3355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4651 SHERIDAN ST STE 450",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213415",
            "telephone_number": "954-983-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACQUELINE E BARRETT MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-09",
        "last_updated": "2010-06-09",
        "status": "A",
        "authorized_official_last_name": "BARRETT",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-983-3355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084F0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "FL",
            "license": "ME85154",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME85154",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "FL",
            "license": "ME85154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269101900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• George Franklin Jacobson, DPM
• Martha Candace Jacobson, PH.D.
• Michele Jacobson, L.M.H.C.
• Melanie Peterson Jacocks, RMFTI
• Jacqueline Chehebar-Valdes PHD PA (Jacqueline C Valdes, PhD PA)
• Elvire Jacques, M.D.
• Jessica Anne Jacques, FNP-BC
• Michelle Marie Jadotte, APRN
• Suzanne Jaeger, PA
• Patricia Jaegerman, PSY.D.

• Child & Adolescent Psychiatry Physician in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Child & Adolescent Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2010; 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.