DR JACKIE PLLC (NPI# 1639715287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639715287 |
| Entity Type | Organization |
| Organization Name | DR JACKIE PLLC |
| Practice Address |
8208 Venosa Haven Ter Boynton Beach FL 33473-5029 |
| Practice Telephone | 5614231811 |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2019-11-19 |
| Authorized Official Name | DR. JACQUELINE SABARESE (PSYCHOLOGIST) |
| Authorized Official Telephone | 6318721198 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Street Address |
8208 VENOSA HAVEN TER |
| City | BOYNTON BEACH |
| State | FL |
| Zip Code | 33473-5029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013293059 | Emily Katcher | Nurse Practitioner | 8662 Daystar Ridge Pt, Boynton Beach, FL 33473 | 2011-10-21 |
| 1962672030 | Physical Therapy On Wheels Inc | Physical Therapist | 11195 Millpond Greens Drive, Boynton Beach, FL 33473 | 2008-03-05 |
| 1750444667 | Rochelle Stern | Nurse Anesthetist, Certified Registered | 8843 Heartsong Terrace, Boynton Beach, FL 33473 | 2006-12-19 |
| 1518020106 | Steven B Berlin | Dentist | 12019 Glacier Bay Drive, Boynton Beach, FL 33473 | 2006-12-18 |
| 1144544065 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 10110 Lyons Rd, Boynton Beach, FL 33473-4701 | 2010-03-22 |
| 1699229328 | Joy Ebo | Pharmacist | 10110 Lyons Rd, Boynton Beach, FL 33473-4701 | 2016-08-10 |
| 1306115720 | Mariam Ikladious Tawadros | Pharmacist | 10110 Lyons Rd, Boynton Beach, FL 33473-4701 | 2011-12-14 |
| 1982972295 | Bijal Patel | Pharmacist | 10110 Lyons Rd, Boynton Beach, FL 33473-4701 | 2011-12-01 |
| 1851420640 | Dennis Harkins | Chiropractor | 10684 Stone Garden Dr, Boynton Beach, FL 33473-4804 | 2007-03-05 |
| 1194766956 | Fred Tow | Radiology | 8921 Raven Rock Ct, Boynton Beach, FL 33473-4831 | 2006-06-10 |
| Find all providers in zip 33473 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720338502 | Julie Capasso Franzese | Psychologist | 6212 Windlass Cir, Boynton Beach, FL 33472-5119 | 2012-09-19 |
| 1417100835 | David Boltson, Psy,d., P.a. | Psychologist | 7410 W Boynton Beach Blvd Ste B4, Boynton Beach, FL 33437-6158 | 2008-10-29 |
| 1760649222 | Luisa Burgio | Psychologist | 1500 Gateway Blvd, Suite # 220, Boynton Beach, FL 33426-7219 | 2008-05-21 |
| 1275676637 | David Boltson | Psychologist | 7410 Boynton Beach Blvd Ste B4, Boynton Beach, FL 33437-6158 | 2007-02-15 |
| 1982796223 | David J. Abrams | Psychologist | 950 N Congress Ave, Suite J230, Boynton Beach, FL 33426-3328 | 2006-09-28 |
| 1538144936 | Mark Elliott Stolzberg | Psychologist | 6759 Shamrock Trl, Boynton Beach, FL 33437-3913 | 2005-12-08 |
| 1982097093 | Andrea Hanley | Psychologist | 1500 Gateway Blvd Ste 220, Boynton Beach, FL 33426-7233 | 2015-03-13 |
| 1205132743 | Juliana Fiore | Psychologist | 2240 W Woolbright Rd, Ste 351, Boynton Beach, FL 33426-6364 | 2011-02-01 |
| 1538319660 | Rpc Consulting Group Pllc | Psychologist | 2500 Quantum Lakes Dr, Suite 203, Boynton Beach, FL 33426-8324 | 2008-09-25 |
| 1770762270 | Roopa Persad Crawford | Psychologist | 2500 Quantum Lakes Dr, Suite 203, Boynton Beach, FL 33426-8324 | 2007-10-31 |
| Find all providers in BOYNTON BEACH | ||||
| City | BOYNTON BEACH |
| Zip Code | 33473 |
Please comment or provide details below to improve the information on DR JACKIE PLLC.
| 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.