1. Home
  2. Directory
  3. Florida
  4. Miami
  5. Psychologist
  6. NPI Profile

JESSY SADOVNIK PA
NPI 1124204979
Psychologist - Clinical in Miami, FL

Active since January 10, 2008
765 NE 195TH ST, MIAMI, FL 33179(305) 632-0630 Get Directions Write a Review

NPPES record last updated: April 8, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jessy Sadovnik Pa NPPES

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

JESSY SADOVNIK PA (NPI 1124204979) is a healthcare organization registered as a clinical in Miami, Florida and active in the NPI registry since January 2008. The organization lists Jessy Sadovnik, President, as its authorized official.

NPPES Registry Identity

NPI1124204979
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameJESSY SADOVNIK PA
Location Address765 NE 195TH STMiami, FL 33179-3421
Mailing Address765 Ne 195th StMiami, FL 33179-3421 · (305) 632-0630 · Fax (305) 651-3463
Phone(305) 632-0630
Organization SubpartNo
Authorized OfficialJessy SadovnikPresident · (305) 632-0630
Enumeration DateJanuary 10, 2008
Last NPPES UpdateApril 8, 2011
✔ NPI 1124204979 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 · PY6670
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.
765 NE 195TH ST, Miami, FL 33179
Open in Google Maps ↗

Other Identifiers 2

OtherAH119FL · Ptan
OtherU0561Ptan

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 MULTIPLE SINGLE SPECIALTY GROUP

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 Jessy Sadovnik PA's NPI number?

The NPI number for Jessy Sadovnik PA is 1124204979. It was assigned to this organization in the NPPES registry on January 10, 2008.

Where is Jessy Sadovnik PA located?

Jessy Sadovnik PA is located at 765 NE 195th St, Miami, FL 33179. The listed phone number is (305) 632-0630.

What is Jessy Sadovnik PA'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 Jessy Sadovnik PA was last updated on April 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.