Vanessa Marie Jaszczerski, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY 7708 Issued in FL

Practice address

5150 Tamiami TRL N
Suite 203
Naples, FL 34103-2812

Phone

(239) 404-4002

NPI assigned

Apr 15, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 25, 2017 through Apr 25, 2027

Medicare enrollment (NPD)

Enrolled

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.

• Huntingdon Healthcare Inc

  • Psychiatry Physician
  • Naples, FL
  • NPI 1457302614
  NPD (past)

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208217600000",
    "number": "1992979603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27831 CARL CIR",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341355744",
            "telephone_number": "239-248-8220",
            "fax_number": "239-435-7893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 TAMIAMI TRL N",
            "address_2": "SUITE 203",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341032812",
            "telephone_number": "239-404-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASZCZERSKI",
        "first_name": "VANESSA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-15",
        "last_updated": "2008-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY 7708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juan Diego Jaramillo
• Osmary Jarrin Camacho
• Bernard V Jasmin, MD
• Rita H. Jasmin, M.D.
• George Brinnig Jastrzebski, MD
• Jenny Jauregui
• Julian J. Javier, MD
• Jonathan K Jay, MD
• JB Harris Speech Therapy
• JB Innovative Therapies

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.