DR. JENNIFER ELLEN ACKRISH (NPI# 1679974877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679974877 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER ELLEN ACKRISH |
| Credential | PSY.D. |
| Practice Address |
915 Middle River Dr Ste 410 Fort Lauderdale FL 33304-3561 |
| Practice Telephone | 5612990483 |
| Practice Fax Number | 9545661186 |
| Mailing Telephone | 5612990483 |
| Mailing Fax Number | 9545661186 |
| Enumeration Date | 2014-09-08 |
| Last Update Date | 2019-06-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY 9129 | FL | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 915 Middle River Dr Ste 307, Fort Lauderdale, FL 333043560 | 5612990483 | 9545661186 |
| Street Address |
915 MIDDLE RIVER DR STE 410 |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33304-3561 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013305499 | Jennifer Ackrish, Psy.d. LLC | Psychologist | 915 Middle River Dr Ste 410, Fort Lauderdale, FL 33304-3561 | 2015-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972128379 | Nurse Practitioner On Demand LLC | Clinic/Center | 1491 N Federal Hwy, Fort Lauderdale, FL 33304 | 2020-06-11 |
| 1053977207 | Hubert Christopher Dauphin | Counselor | 1527 Ne 4 Ave, Ft Lauderdale, FL 33304 | 2019-05-14 |
| 1073176970 | Giant Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 1975 E. Sunrise Blvd, Ste 503, Fort Lauderdale, FL 33304 | 2019-04-16 |
| 1790283000 | Genoa Healthcare, LLC | Pharmacy | 919 Ne 13th St Ste 244, Fort Lauderdale, FL 33304 | 2018-02-01 |
| 1063939890 | Suibel Boeras | Dentist | 3000 E Sunrise Blvd, Apt 5d, Fort Lauderdale, FL 33304 | 2017-08-23 |
| 1871023671 | Zahily Quinones Rivero | Technician, Other | 916 N Victoria Park Road, Fort Lauderdale, FL 33304 | 2017-06-14 |
| 1033652847 | A Healthier You Wellness Center, Inc. | Reflexologist | 1960 Ne 47th Street, Unit 102, Fort Lauderdale, FL 33304 | 2016-11-28 |
| 1871975995 | Sahyma Pampin | Physician Assistant | 2414 E. Sunrise Blvd., Ste. 2140a, Ft. Lauderdale, FL 33304 | 2015-06-25 |
| 1881090660 | Tara Zuckerman | Psychologist | 1501 Ne 4th Avenue, Fort Lauderdale, FL 33304 | 2014-11-06 |
| 1053721027 | Felice D. Fusca | Social Worker | 1208 Ne 17 Av, Fort Lauderdale, FL 33304 | 2014-04-30 |
| Find all providers in zip 33304 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578180154 | Lory Jean Reyes | Psychologist | 1180 N Federal Hwy Ph 1608, Fort Lauderdale, FL 33304-1470 | 2020-06-30 |
| 1508483355 | Elizabeth Levin | Psychologist | 3250 Ne 28th St Apt 303, Fort Lauderdale, FL 33308-7446 | 2020-06-27 |
| 1033601653 | Neuro Intergration LLC | Psychologist | 2500 N Federal Hwy Ste 100, Fort Lauderdale, FL 33305 | 2018-05-30 |
| 1679001465 | Ainsley Kennard | Psychologist | 1975 E Sunrise Blvd Ste 511, Fort Lauderdale, FL 33304-1409 | 2017-05-24 |
| 1508308511 | Marcela Mejia | Psychologist | 2425 E Commercial Blvd Ste 405, Fort Lauderdale, FL 33308-4029 | 2016-11-08 |
| 1083087456 | Kelley Gill | Psychologist | 1752 Nw 3rd Ter, #213, Fort Lauderdale, FL 33311-4885 | 2015-11-07 |
| 1881090660 | Tara Zuckerman | Psychologist | 1501 Ne 4th Avenue, Fort Lauderdale, FL 33304 | 2014-11-06 |
| 1629410915 | Jessie Jenny Alfin | Psychologist | 1400 Nw 14th Ct, Fort Lauderdale, FL 33311-5426 | 2013-07-27 |
| 1366796435 | Heather Robinson Violante | Psychologist | 2419 E Commercial Blvd Ste 203, Fort Lauderdale, FL 33308-4042 | 2012-10-29 |
| 1720358245 | Amanda Lea Meneses | Psychologist | 4545 N Federal Hwy, Fort Lauderdale, FL 33308-5203 | 2012-01-02 |
| Find all providers in FORT LAUDERDALE | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33304 |
Please comment or provide details below to improve the information on DR. JENNIFER ELLEN ACKRISH.
| 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.