JNG Health Network PA

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY7571 Issued in FL

Legal business name

JNG HEALTH NETWORK PA

Practice address

1133 SW 167TH Ave
Pembroke Pines, FL 33027-1422

Phone

(954) 404-7052

Fax

(954) 435-5982

NPI assigned

Oct 7, 2008

Last updated

Dec 15, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jose Nadine Garcon, PSY.D.

Title

Psychologist/President

Phone

(954) 404-7052

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jose Nadine Garcon

  • Psychologist
  • Miramar, FL
  • NPI 1609063544

  Clinical

  Medicare reassignment NPD
• Yahaira Almedina, PSY.D

  • Psychologist
  • Pembroke Pines, FL
  • NPI 1699321976
  NPD (past)
• Ana Maria Faraci

  • Psychologist
  • Hialeah, FL
  • NPI 1518676097
  NPD (past)
• Patricia Linda Villalba Rodriguez, RBT

  • Behavior Technician
  • Hialeah, FL
  • NPI 1407568934

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229299200000",
    "number": "1932350089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 SW 167TH AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330271422",
            "telephone_number": "954-404-7052",
            "fax_number": "954-435-5982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 SW 167TH AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330271422",
            "telephone_number": "954-404-7052",
            "fax_number": "954-435-5982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JNG HEALTH NETWORK PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-07",
        "last_updated": "2008-12-15",
        "status": "A",
        "authorized_official_last_name": "GARCON",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "NADINE",
        "authorized_official_title_or_position": "PSYCHOLOGIST/PRESIDENT",
        "authorized_official_telephone_number": "954-404-7052",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY7571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesslin Jinu
• Helmer Jiron
• JJ Apothecary LLC
• JJ Dental-4 PLLC
• JL Chiropractic LLC
• Joaquin Mendez MD PA
• Justin Alex Joaquin, PTA
• Yaima Joglar
• Johannes V. Blom, MD, PA
• Izabella Johannes

• Clinical Psychologist in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.