BEVERLY JEAN-JACQUES (NPI# 1700077666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700077666 |
| Entity Type | Individual |
| Full Name | BEVERLY JEAN-JACQUES |
| Credential | PH.D. |
| Practice Address |
624 W Tropical Way Plantation FL 33317-3348 |
| Practice Telephone | 9541111111 |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2013-05-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PY8468 | FL | Behavioral Health & Social Service Providers |
| N | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275613259 | Beverly Jean-jacques | Licensed Practical Nurse | 832 W Central Blvd, Orlando, FL 32805-1809 | 2006-10-16 |
| Street Address |
624 W TROPICAL WAY |
| City | PLANTATION |
| State | FL |
| Zip Code | 33317-3348 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265459275 | Center for Clinical & Forensic Psychology Inc | Psychologist | 624 W Tropical Way, Plantation, FL 33317-3348 | 2006-07-16 |
| 1568652444 | Sharon Stillson | Social Worker | 624 W Tropical Way, Plantation, FL 33317-3348 | 2007-07-27 |
| 1942490768 | Katrina Boston | Social Worker | 624 W Tropical Way, Plantation, FL 33317-3348 | 2007-07-27 |
| 1942349303 | Karen Mattis Mier | Psychologist | 624 W Tropical Way, Plantation, FL 33317-3348 | 2007-02-05 |
| 1881748044 | Patrick Phipps | Psychologist | 624 W Tropical Way, Plantation, FL 33317-3348 | 2007-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437704434 | Md Now Medical Centers Inc | Clinic/Center | 4640 W Commercial Blvd, Tamarac, FL 33317 | 2019-08-06 |
| 1902348675 | Atroypen Group, Inc | Case Management | 4330 W Broward Blvd Ste R, Plantation, FL 33317 | 2016-11-13 |
| 1417329665 | Marie Eronne Jean Charles | Nurse Practitioner | 6901 Cypress Road, Plantation, FL 33317 | 2015-10-28 |
| 1871977025 | Yanliceth Rodriguez | Clinic/Center | 4430 Sw 22nd Ct, Ft Lauderdale, FL 33317 | 2015-07-17 |
| 1710361472 | Melissa Coffman | Physician Assistant | 960 Sw 74th Avenue, Plantation, FL 33317 | 2015-07-13 |
| 1134511058 | Emad Ziaden | Physical Therapist | 747 S. State Rd 7, Plantation, FL 33317 | 2015-03-02 |
| 1760880710 | Michael Robert Tanguay | Orthotist | 450 North State Road 7, Plantation, FL 33317 | 2014-12-08 |
| 1821427675 | Mankame, Dipak M., D.d.s., P.a. | Dentist | 300 N.w. 70th Ave Suite 109, Plantation, FL 33317 | 2013-11-02 |
| 1679828826 | Kozy Kove Assisted Living Facility | Assisted Living Facility | 490 Nw 45 Terr, Plantation, FL 33317 | 2012-07-13 |
| 1205102845 | Aratha Franklin Dixon | Psychologist | 4121 Nw 5th # 207, Plantation, FL 33317 | 2012-03-28 |
| Find all providers in zip 33317 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417427873 | Loren Michelle Berry | Psychologist | 8201 Peters Road, Suite 1000, Plantation, FL 33324-3332 | 2018-11-28 |
| 1043728850 | Heather Michelle Bossong | Psychologist | 7890 Peters Rd Ste G107, Plantation, FL 33324-4028 | 2018-01-15 |
| 1205102845 | Aratha Franklin Dixon | Psychologist | 4121 Nw 5th # 207, Plantation, FL 33317 | 2012-03-28 |
| 1760679690 | Parvonae Shaw | Psychologist | 840 Azalea Ct, Plantation, FL 33317-1202 | 2007-09-25 |
| 1326261124 | Stephen M Stillman | Psychologist | 7820 Peters Rd, Suite E-105, Plantation, FL 33324-4019 | 2007-04-10 |
| 1427108810 | Denise B Strauch | Psychologist | 130 S University Dr, Plantation, FL 33324-3357 | 2007-01-10 |
| 1538225586 | Edwina Francine Bell | Psychologist | 7420 Nw 5th St Ste 112, Plantation, FL 33317-1611 | 2006-12-27 |
| 1447312491 | Melina Goldenberg | Psychologist | 8030 Peters Rd, D-106, Plantation, FL 33324-4038 | 2006-12-15 |
| 1881755908 | Aharona Surowitz | Psychologist | 430 W Lake Dasha Dr, Plantation, FL 33324-3004 | 2006-12-13 |
| 1881778934 | Sheryl A. Ferguson | Psychologist | 300 S Pine Island Rd Ste 215, Plantation, FL 33324-2620 | 2006-10-25 |
| Find all providers in PLANTATION | ||||
| City | PLANTATION |
| Zip Code | 33317 |
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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.