Individual provider Active NPI

Jeannie Chandler Nunez, PSY.D.

  • Psychologist
  • Pembroke Pines, FL
National Provider Identifier
1972839439
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY 7981 Issued in FL
Practice address
1961 NW 150TH Ave Ste 103
Pembroke Pines, FL 33028-2876
Phone
(954) 374-4747
Fax
(877) 309-7271
NPI assigned
Oct 19, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY 7981 FL Primary

Addresses

Primary practice location

1961 NW 150TH Ave Ste 103
Pembroke Pines, FL 33028-2876

Mailing address

5840 Castlegate Ave
Davie, FL 33331-3234
Phone (954) 374-4747

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PY 7981FLMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Broward Psychological Services Current Accepting new patients
Chrysalis Center, LLC Past Accepting new patients

Locations

1941 NW 150th Ave
Ste 104
Pembroke Pines, FL 33028
Phone (954) 374-4747

1961 NW 150th Ave
Ste 103
Pembroke Pines, FL 33028
Phone (954) 358-0992

Organizations & group practices 2

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": "1255910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1972839439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5840 CASTLEGATE AVE",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333313234",
            "telephone_number": "954-374-4747",
            "fax_number": "877-309-7271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1961 NW 150TH AVE STE 103",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330282876",
            "telephone_number": "954-374-4747",
            "fax_number": "877-309-7271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNEZ",
        "first_name": "JEANNIE",
        "middle_name": "CHANDLER",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-19",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY 7981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.

Verify at the official NPI Registry.