Jillian Claire Baldwin, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY11488 Issued in FL

Practice address

1421 SE 4TH Ave FL 1
Fort Lauderdale, FL 33316-1900

Phone

(954) 616-5088

NPI assigned

Jul 10, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1404950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1932515871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 NE 1ST AVE APT 2611",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331375340",
            "telephone_number": "251-455-6403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 SE 4TH AVE FL 1",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333161900",
            "telephone_number": "954-616-5088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDWIN",
        "first_name": "JILLIAN",
        "middle_name": "CLAIRE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-10",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY11488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ania Balanza
• Adrienne Danette Balboni
• Sergio Balcazar Jr., L.M.F.T.
• Gaby Balda Taylor, PT
• Jose Baldriche
• Ashley Danielle Baldyga
• Alvan Balent, M.D.
• Naomi Hope Balingcongan
• Cherie Ballard
• Shelby Ballaron, PA-C

• Clinical Psychologist in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; 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.