Jessy Sadovnik Pa is a Clinical in Miami, Florida. Jessy Sadovnik Pa practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jessy Sadovnik Pa is 1124204979. The last update date is 2011-04-08.
Jessy Sadovnik Pa's current location address is 765 Ne 195th St, Miami, Florida. You can contact this provider via phone number 3056320630 and fax number 3056513463. The mailing address for Jessy Sadovnik Pa is 765 Ne 195th St, Miami, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jessy Sadovnik Pa |
|---|---|
| Address | 765 Ne 195th St, Miami, Florida |
| Phone Number | 3056320630 |
| Fax Number | 3056513463 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Sadovnik Jessy |
| Credentials | PSYD. |
| Telephone Number | 3056320630 |
NPI Number Detail
| NPI Number | 1124204979 |
|---|---|
| Provider Enumeration Date | 2008-01-10 |
| Last Updated Date | 2011-04-08 |
Provider Mailing Address Detail
| Address | 765 Ne 195th St |
|---|---|
| City | Miami |
| State | Florida (FL) |
| Post Code | 331793421 |
| Phone Number | 3056320630 |
| Fax Number | 3056513463 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PY6670 |
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Definition: 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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| U0561 | PTAN | ||
| AH119 | FL | PTAN |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jessy Sadovnik Pa by the Centers for Medicare & Medicaid Services?
The Jessy Sadovnik Pa has been issued the NPI (National Provider Identifier) 1124204979 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Jessy Sadovnik Pa's physical address?
The Jessy Sadovnik Pa is physically located at 765 Ne 195Th St, in the city of Miami, FL, with the postal code 331793421.
What is Jessy Sadovnik Pa's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jessy Sadovnik Pa is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.
On what date was the 1124204979 assigned to Jessy Sadovnik Pa?
The Jessy Sadovnik Pa was issued its 1124204979 on 2008-01-10, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Jessy Sadovnik Pa, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jessy Sadovnik Pa, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-04-08.