Active NPI
Jaritza Melendez-Hernandez, PSY.D.
- Clinical Psychologist
- Sarasota, FL
National Provider Identifier
1932495546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY12118
- Practice address
- 5310 Clark Rd
Sarasota, FL 34233-3230 - Phone
- (786) 957-0155
- Fax
- (203) 503-3296
- NPI assigned
- Jun 22, 2011
- 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 | 4624 | CT | |
| Clinical Psychologist | 103TC0700X | PY12118 | FL | Primary |
Addresses
Primary practice location
5310 Clark Rd
Sarasota, FL 34233-3230
Mailing address
400 Columbus Ave
New Haven, CT 06519-1233
Phone (203) 503-3174
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004235918 | Medicaid | CT |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PY12118 | FL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roble Psychological Services | Professional | Current | Accepting new patients |
Locations
5310 Clark Rd
Sarasota, FL 34233
Phone (786) 957-0155
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743120000000",
"number": "1932495546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 COLUMBUS AVE",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065191233",
"telephone_number": "203-503-3174",
"fax_number": "203-503-3183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5310 CLARK RD",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342333230",
"telephone_number": "786-957-0155",
"fax_number": "203-503-3296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELENDEZ-HERNANDEZ",
"first_name": "JARITZA",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-22",
"last_updated": "2025-03-28",
"certification_date": "2025-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CT",
"license": "4624",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY12118",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004235918",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.