Active NPI
Janitza De Jesus, PSYD, LMHC
- Clinical Psychologist
- Fort Lauderdale, FL
National Provider Identifier
1992254510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY10413
- Practice address
- 3800 W Broward Blvd
Suite 100
Fort Lauderdale, FL 33312-1018 - Phone
- (954) 587-1008
- NPI assigned
- Sep 23, 2016
- Sex
- Female
- Sole proprietor
- No
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 | PY10413 | FL | Primary |
| Mental Health Counselor | 101YM0800X | MH13727 | FL |
Addresses
Primary practice location
3800 W Broward Blvd
Suite 100
Fort Lauderdale, FL 33312-1018
Mailing address
3800 W Broward Blvd Ste 100
Fort Lauderdale, FL 33312-1018
Phone (954) 587-1008
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
| License | State | Type | Specialty |
|---|---|---|---|
| MH13727 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781913600000",
"number": "1992254510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3800 W BROWARD BLVD STE 100",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333121018",
"telephone_number": "954-587-1008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3800 W BROWARD BLVD",
"address_2": "SUITE 100",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333121018",
"telephone_number": "954-587-1008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE JESUS",
"first_name": "JANITZA",
"credential": "PSYD, LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-23",
"last_updated": "2026-06-20",
"certification_date": "2026-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY10413",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH13727",
"primary": false
}
],
"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 Jun 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.