Healthcare Provider Details

I. General information

NPI: 1831022599
Provider Name (Legal Business Name): JESSICA CRISTINA JIMENEZ RAMIREZ PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6850 E MAYO BLVD UNIT 1101
PHOENIX AZ
85054-5679
US

IV. Provider business mailing address

6850 E MAYO BLVD UNIT 1101
PHOENIX AZ
85054-5679
US

V. Phone/Fax

Practice location:
  • Phone: 787-439-7919
  • Fax:
Mailing address:
  • Phone: 787-439-7919
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: