JENNIFER TICKAL, PSY.D., P.A.
NPI 1023477221
Psychologist - Clinical in Maitland, FL

Active since February 16, 2016
1555 N MAITLAND AVE, MAITLAND, FL 32751(813) 563-5676 Get Directions Write a Review

NPPES record last updated: January 18, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 18, 2021, Feb 3, 2020, Feb 6, 2019 and 3 more (6 updates tracked since 2016).

About Jennifer Tickal, Psy.d., P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER TICKAL, PSY.D., P.A. (NPI 1023477221) is a healthcare organization registered as a clinical in Maitland, Florida and active in the NPI registry since February 2016. The organization lists Jennifer Tickal, Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1023477221
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameJENNIFER TICKAL, PSY.D., P.A.
Location Address1555 N MAITLAND AVEMaitland, FL 32751-3325
Mailing Address2328 Foliage Oak TerOviedo, FL 32766-7021 · (321) 217-6086
Organization SubpartNo
Authorized OfficialJennifer TickalClinical Psychologist · (321) 217-6086
Enumeration DateFebruary 16, 2016
Last NPPES UpdateJanuary 18, 20216 updates tracked since enumeration
NPPES CertifiedJanuary 18, 2021
NPI 1023477221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in FL · PY8723
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 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.
1555 N MAITLAND AVE, Maitland, FL 32751

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
1555 N MAITLAND AVE
MAITLAND, FL 32751
Social Worker (Clinical)
1555 N MAITLAND AVE
MAITLAND, FL 32751

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Tickal, Psy.D., P.A.'s NPI number?

The NPI number for Jennifer Tickal, Psy.D., P.A. is 1023477221. It was assigned to this organization in the NPPES registry on February 16, 2016.

Where is Jennifer Tickal, Psy.D., P.A. located?

Jennifer Tickal, Psy.D., P.A. is located at 1555 N Maitland Ave, Maitland, FL 32751. The listed phone number is (813) 563-5676.

What is Jennifer Tickal, Psy.D., P.A.'s specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Jennifer Tickal, Psy.D., P.A. was last updated on January 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.