Jacqueline Jimenez, PSYD in Apo, AP - Psychologist

Jacqueline Jimenez, PSYD is a Psychologist - Clinical based in Apo, Armed Forces Pacific. Jacqueline Jimenez is licensed to practice in California (license number PSY303054) and her current practice location is Bg Crawford F. Sams Health Clinic, Unit 45011, Apo, Armed Forces Pacific. She can be reached at her office (for appointments etc.) via phone at (315) 263-4610.

NPI number for Jacqueline Jimenez is 1508090093 and her current mailing address is Bg Crawford F. Sams Health Clinic, Unit 45011, Apo, Armed Forces Pacific. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1508090093.

Contact Information

	Jacqueline Jimenez, PSYD
	Bg Crawford F. Sams Health Clinic, Unit 45011, Apo, AP 96343-5011
	(315) 263-4610
	Not Available

Healthcare Provider's Profile

Full Name	Jacqueline Jimenez
Gender	Female
Speciality	Psychologist - Clinical
Location	Bg Crawford F. Sams Health Clinic, Apo, Armed Forces Pacific
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1508090093
Provider Enumeration Date: 05/12/2009
Last Update Date: 11/28/2023

Medical Identifiers

Medical identifiers for Jacqueline Jimenez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508090093	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PSY30354 (California)	Secondary
103TC0700X	Psychologist - Clinical	PSY303054 (California)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacqueline Jimenez is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jacqueline Jimenez, PSYD Bg Crawford F. Sams Health Clinic, Unit 45011, Apo, AP 96343-5011 Ph: () -	Jacqueline Jimenez, PSYD Bg Crawford F. Sams Health Clinic, Unit 45011, Apo, AP 96343-5011 Ph: (315) 263-4610

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Jacqueline Jimenez, PSYD - Psychologist in Apo, AP