JASON JIMENEZ (PSYD) – Clinical Psychologist, NPI 1194501973

JASON JIMENEZ (PSYD) is a healthcare provider. based in Delray beach, Florida. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSYD. They hold a License No. PY11972 (FL). The NPI Number for JASON JIMENEZ (PSYD) is 1194501973

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
JASON JIMENEZ (PSYD)
NPI
1194501973
Phone
(561) 453-2273
Address
4765 W Atlantic Ave
Enumeration Date
6 September 2023
Last Update Date
3 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9543628677
Graduation Year
2021 (5 years ago)
PAC ID
5193179448
Group Practice PAC ID
2365888286
Professional Enrollment ID
I20230920004021
Address ID
FL334333429BO7000XRDXX504
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness85
Years active:2State licenses:1Digital endpointsOther names

1,602 CLINICAL PSYCHOLOGIST in FL

Provider Addresses for JASON JIMENEZ (PSYD)

  • 4765 W Atlantic Ave

    Delray Beach, FL 334453838

    Phone: (561) 453-2273

    Type: Location

  • 2029 N UNIVERSITY DR

    CORAL SPRINGS, FL 330716132

    Phone: (954) 751-0000

    Fax: (954) 697-9516

    Type: Mailing

  • 7000 W PALMETTO PARK RD STE 110

    BOCA RATON, FL 334333429

    Phone: (561) 418-6000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-09-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230920004021IClinical PsychologistFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33445)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2365888286View full group profile
NameSpecialtyState
Clinical PsychologistFL
Clinical PsychologistFL
Clinical PsychologistFL
Clinical PsychologistFL
Clinical PsychologistFL

Reviews

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Frequently asked questions

Can I cross-check JASON JIMENEZ (PSYD) using NPI 1194501973?
NPI 1194501973 belongs to JASON JIMENEZ (PSYD); compare other details if you need extra assurance.
Is JASON JIMENEZ (PSYD) still an active registrant?
JASON JIMENEZ (PSYD) carries an active NPI according to the public dataset.
What clinical focus is listed for JASON JIMENEZ (PSYD)?
At a glance, JASON JIMENEZ (PSYD) is tied to Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Is JASON JIMENEZ (PSYD) associated with Delray Beach?
Public fields place JASON JIMENEZ (PSYD) around Delray Beach, Florida. Always confirm the exact site before visiting.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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