DR. JILL KELDERMAN (NPI# 1184815508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184815508 |
| Entity Type | Individual |
| Full Name | DR. JILL KELDERMAN |
| Credential | PH.D. |
| Practice Address |
500 Village Square Crossing Suite 103 Palm Beach Gardens FL 33410 |
| Practice Telephone | 5616889795 |
| Practice Fax Number | 5616889796 |
| Mailing Telephone | 5616889795 |
| Mailing Fax Number | 5616889796 |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2011-10-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 7965 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | LICENSE | 7965 | 01 |
| Street Address |
500 VILLAGE SQUARE CROSSING SUITE 103 |
| City | PALM BEACH GARDENS |
| State | FL |
| Zip Code | 33410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063621274 | Linda Ross Kushner | Speech-Language Pathologist | 500 Village Square Crossing, Suite 201, Palm Beach Gardens, FL 33410-4548 | 2007-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811501026 | Vicky Pauline Salazar | Registered Nurse | 11501 N Military Trail, Palm Beach Gardens, FL 33410 | 2020-09-04 |
| 1417596388 | Chavon E Mayer | Doula | 149 Winter Park Lane, West Palm Beach, FL 33410 | 2019-12-24 |
| 1639711617 | Diamond Physical Therapy, LLC | Physical Therapist | 4025 Johnson Dairy Road, Palm Beach Gardens, FL 33410 | 2019-10-11 |
| 1689151714 | Caroline Devries Hesterman | Occupational Therapist | 9840 Alternate A1a Ste 402, Palm Beach Gardens, FL 33410 | 2018-07-21 |
| 1366937088 | Krystal Maya Khemkaran | Behavior Technician | 2979 Pga Blvd # 200, Palm Beach Gardens, FL 33410 | 2018-06-25 |
| 1548762552 | Arsenia Pomperada Sabusap | Nurse Practitioner | Grace Medical Center of Florida, 4212 Northlake Blvd., Palm Beach Gardens, FL 33410 | 2018-03-06 |
| 1538668199 | Alan Seidenfeld | Dentist | 7305 N Military Trl 3a-200, Riviera Beach, FL 33410 | 2018-02-08 |
| 1407361454 | Nuvista Living At Jupiter, LLC | Skilled Nursing Facility | 338 Pioneer Road, Jupiter, FL 33410 | 2017-12-12 |
| 1083125728 | Tom Long Biddle-xing | Nurse Practitioner | 3345 Burns Rd Ste 206, Palm Beach Gardens, FL 33410 | 2017-10-20 |
| 1801315189 | Kasie Sidman | Physical Therapist | 3929 Bluebell St, Palm Beach Gardens, FL 33410 | 2017-09-18 |
| Find all providers in zip 33410 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669700167 | The Center for Pediatric Neuropsychology, LLC | Clinical Neuropsychologist | 500 Village Square Xing, Suite 103, Palm Beach Gardens, FL 33410-4548 | 2009-11-23 |
| 1295803054 | David Samuel Bush | Clinical Neuropsychologist | 11211 Prosperity Farms Road, Palm Beach Gardens, FL 33410-3401 | 2006-12-01 |
| 1497798631 | Laurence S Levine | Clinical Neuropsychologist | 3801 Pga Blvd, Suite 600, Palm Beach Gardens, FL 33410-2758 | 2006-06-14 |
| 1225449242 | Morgan K Panora | Clinical Neuropsychologist | 11211 Prosperity Farms Rd, Suite C303, Palm Beach Gardens, FL 33410-3446 | 2014-05-13 |
| 1790103240 | Rachel Lauren Miller | Clinical Neuropsychologist | 3801 Pga Blvd, Suite 600 & 602, Palm Beach Gardens, FL 33410-2758 | 2014-04-02 |
| 1740540046 | David S. Bush, Ph.d., P.a. | Clinical Neuropsychologist | 11211 Prosperity Farms Rd, Suite C206, Palm Beach Gardens, FL 33410-3446 | 2012-05-21 |
| 1134400013 | Nicholas J Deprima | Clinical Neuropsychologist | 3502 Kyoto Gardens Dr Ste A, Palm Beach Gardens, FL 33410-2899 | 2011-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912512831 | Joshua Rooks, Phd, LLC | Clinical Neuropsychologist | 7328 Jacaranda Ln, Miami Lakes, FL 33014-2670 | 2020-09-09 |
| 1457978991 | Renew Psychiatric Care, LLC | Clinical Neuropsychologist | 3170 N Federal Hwy Ste 206b, Lighthouse Point, FL 33064-6720 | 2020-07-01 |
| 1871110460 | Thoughtwise LLC | Clinical Neuropsychologist | 2840 Remington Green Cir Ste 3, Tallahassee, FL 32308-1518 | 2020-06-29 |
| 1093338451 | Krizia Amy Vinck | Clinical Neuropsychologist | 1150 Nw 14th St, Miami, Fl 33136, Miami, FL 33136 | 2020-05-20 |
| 1124667795 | Jennifer Ann Barton | Clinical Neuropsychologist | 3411 Day Ave, Miami, FL 33133-5030 | 2019-12-31 |
| 1952947434 | Dagmar E Nunez | Clinical Neuropsychologist | 1351 Seagrape Cir, Weston, FL 33326-2726 | 2019-11-20 |
| 1821632779 | Joshua Daniel Rooks | Clinical Neuropsychologist | 6520 Miami Lakeway S, Miami Lakes, FL 33014-2747 | 2019-11-04 |
| 1427605088 | Global Wellness LLC | Clinical Neuropsychologist | 1560 Sawgrass Corporate Parkway #447, Sunrise, FL 33323 | 2019-08-19 |
| 1528627882 | Anchor Multispecialty Group | Clinical Neuropsychologist | 850 S Palafox St Unit 103, Pensacola, FL 32502-5983 | 2019-06-11 |
| 1639736473 | Aldrich Chan | Clinical Neuropsychologist | 2601 Sw 37th Ave Ste 703, Coral Gables, FL 33133-2750 | 2019-05-28 |
| Find all providers with the same taxonomy | ||||
| City | PALM BEACH GARDENS |
| Zip Code | 33410 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.