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DR JACKIE PLLC NPI 1639715287


NPI Information

NPI: 1639715287
Provider Name: DR JACKIE PLLC
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
8208 VENOSA HAVEN TER
BOYNTON BEACH, FL
ZIP 33473
Phone: (561) 423-1811
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DR JACKIE PLLC is a clinical psychologist in Boynton Beach, FL. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. DR JACKIE PLLC NPI is 1639715287. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8208 VENOSA HAVEN TER
BOYNTON BEACH, FL
ZIP 33473-029
Phone: (561) 423-1811

The provider's authorized official is Jacqueline Sabarese .
The authorized official title is Psychologist and has the following contact phone number (631) 872-1198.

The enumeration date for this NPI number is 11/19/2019 and was last updated on 11/19/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC0700XPsychologistClinicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.