Jo-Anne Bliss, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY5318 Issued in FL

Practice address

6830 SW 16TH St
Plantation, FL 33317-5086

Phone

(954) 584-6155

Fax

(954) 316-7553

NPI assigned

Jul 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Center for Clinical & Forensic Psychology Inc

  • Clinical Psychologist
  • Plantation, FL
  • NPI 1265459275
  Medicare reassignment NPD Authorized official
• Bliss Recovery Center LLC

  • Substance Abuse Rehabilitation Facility
  • Fort Lauderdale, FL
  • NPI 1265983498
  NPD (past) Authorized official
• Cotler Healthcare & Development Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wellington, FL
  • NPI 1225075047

  Clinical

  NPD (past)

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187740800000",
    "number": "1942220918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6830 SW 16TH ST",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333175086",
            "telephone_number": "954-584-6155",
            "fax_number": "954-316-7553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6830 SW 16TH ST",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333175086",
            "telephone_number": "954-584-6155",
            "fax_number": "954-316-7553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLISS",
        "first_name": "JO-ANNE",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY5318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "766355200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sebastian A Blanco
• Tamara Bledsoe, ARNP
• Blessed Hands Health-Services LLC
• Blessed Healthcare Associates, LLC
• Simone Blidgen, LCSW
• Winston O Bliss, MD
• Robert Scott Blitman, D.D.S.
• Ellen Wolff Bloch, B.S.,M.A.
• Gerald Allen Bloch, M.A.
• Bloom Health Connect LLC

• Clinical Psychologist in Plantation, FL
• Providers in Plantation, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.