NPIMap

Organization Active NPI

One Stop Psychiatry LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Lauderdale, FL
National Provider Identifier
1952056780
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
ONE STOP PSYCHIATRY LLC
Practice address
3015 N Ocean Blvd Ste C101
Fort Lauderdale, FL 33308-7300
Phone
(754) 270-6322
Fax
(754) 270-6321
NPI assigned
Feb 21, 2022
Last updated
May 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Authorized official

Name
Jerjuan Toles, BSHSM, MSHANPI 1336805365
Title
Practice Development Consultant
Phone
(239) 595-9040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

3015 N Ocean Blvd Ste C101
Fort Lauderdale, FL 33308-7300

Mailing address

3015 N Ocean Blvd Ste C101
Fort Lauderdale, FL 33308-7300
Phone (754) 270-6322

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220513001110 FL Part B Supplier - Clinic/Group Practice 8426435470 Receives reassigned benefits from 10 practitioners
Practice locations: Fort Lauderdale, FL

National Provider Directory

National Provider Directory

Locations

3015 N Ocean Blvd
Ste C101
Fort Lauderdale, FL 33308
Phone (754) 241-1087

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1645401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779321600000",
    "number": "1952056780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 N OCEAN BLVD STE C101",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333087300",
            "telephone_number": "754-270-6322",
            "fax_number": "754-270-6321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 N OCEAN BLVD STE C101",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333087300",
            "telephone_number": "754-270-6322",
            "fax_number": "754-270-6321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE STOP PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-21",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A",
        "authorized_official_last_name": "TOLES",
        "authorized_official_first_name": "JERJUAN",
        "authorized_official_title_or_position": "PRACTICE DEVELOPMENT CONSULTANT",
        "authorized_official_telephone_number": "239-595-9040",
        "authorized_official_credential": "BSHSM, MSHA"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; 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.