Individual provider Active NPI

Kristen Milie' Jones, PSY.D.

  • Psychologist
  • Plantation, FL
National Provider Identifier
1992936504
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY7637 Issued in FL
Practice address
8211 W Broward Blvd Ste 370
Plantation, FL 33324-2737
Phone
(954) 306-8819
NPI assigned
Jul 30, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY7637 FL Primary

Addresses

Primary practice location

8211 W Broward Blvd Ste 370
Plantation, FL 33324-2737

Mailing address

8211 W Broward Blvd Ste 370
Plantation, FL 33324-2737
Phone (954) 288-7443

Other practice location 1

4361 NW 3rd Ct
Coconut Creek, FL 33066-1717
Phone (954) 288-7443

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230222001174 FL Practitioner - Clinical Psychologist 9537532551 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PY7637FLMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Quality BHS Florida, LLC CurrentSince Feb 1, 2023 Accepting new patients

Locations

7900 Venture Center Way
Boynton Beach, FL 33437
Phone (561) 330-0111

4250 66th St N
Kenneth City, FL 33709
Phone (350) 250-2435

5860 W Junior College Rd
Key West, FL 33040
Phone (305) 293-1299

1501 SE 24th Rd
Ocala, FL 34471
Phone (352) 257-7777

2180 10th Ave
Vero Beach, FL 32960
Phone (772) 564-9511

Organizations & group practices 1

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": "1248912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1992936504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8211 W BROWARD BLVD STE 370",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242737",
            "telephone_number": "954-288-7443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8211 W BROWARD BLVD STE 370",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242737",
            "telephone_number": "954-306-8819"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4361 NW 3rd Ct",
            "address_purpose": "LOCATION",
            "city": "Coconut Creek",
            "state": "FL",
            "postal_code": "330661717",
            "country_code": "US",
            "telephone_number": "954-288-7443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "KRISTEN",
        "middle_name": "MILIE'",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-30",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY7637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.