GRETCHEN SHIMPENO HADDAD (NPI# 1104476555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104476555 |
| Entity Type | Individual |
| Full Name | GRETCHEN SHIMPENO HADDAD |
| Credential | LMHC |
| Practice Address |
3400 N 29th Ave Hollywood FL 33020-1002 |
| Practice Telephone | 9542763400 |
| Practice Fax Number | 9549656444 |
| Mailing Telephone | 9542763400 |
| Mailing Fax Number | 9549656444 |
| Enumeration Date | 2019-09-18 |
| Last Update Date | 2019-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MH15309 | FL | Behavioral Health & Social Service Providers |
| Street Address |
3400 N 29TH AVE |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33020-1002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124094701 | Rolando Q Santos | Nurse Practitioner | 3400 N 29th Ave, Hollywood, FL 33020 | 2006-02-24 |
| 1194345009 | Diana Hernandez | Counselor | 3400 N 29th Ave, Hollywood, FL 33020-1002 | 2020-04-21 |
| 1255965984 | Britni Kelly Summers | Social Worker | 3400 N 29th Ave, Hollywood, FL 33020-1002 | 2020-03-03 |
| 1104210186 | Jose Antonio Guerra | Psychiatry & Neurology | 3400 N 29th Ave, Hollywood, FL 33020-1002 | 2015-03-26 |
| 1225473945 | Andrew J Migliaccio | Psychiatry & Neurology | 3400 N 29th Ave, Hollywood, FL 33020-1002 | 2013-05-08 |
| 1528343654 | Alexsa Alvarado | Social Worker | 3400 N 29th Ave, Memorial Health Care System, Hollywood, FL 33020 | 2011-10-20 |
| 1083912950 | Emily Roman Vega | Registered Nurse | 3400 N 29th Ave, Hollywood, FL 33020 | 2011-03-02 |
| 1144412388 | Lina Maria Reyes | Psychiatry & Neurology | 3400 N 29th Ave, Hollywood, FL 33020-1002 | 2007-08-12 |
| 1639230899 | Paulette Gopman Perlowin | Nurse Practitioner | 3400 N 29th Ave, Hollywood, FL 33020 | 2006-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629694203 | Oaks Medical Group, LLC | Internal Medicine | 2854 Jackson St, Hollywood, FL 33020 | 2020-06-19 |
| 1487217949 | Yaneisy Correa Vento Sr. | Nurse Practitioner | 2700 E Hollywood Blud, Hollywood, FL 33020 | 2019-04-19 |
| 1811453590 | Sandra's Car Service LLC | Non-emergency Medical Transport (VAN) | 2048 Mckinley St. Bay #1, Hollywood, FL 33020 | 2019-02-18 |
| 1134605330 | Cruz Ines Diaz | Peer Specialist | 3400 N- 29th Avenue, Hollywood, FL 33020 | 2018-07-11 |
| 1598258451 | Brian Tran | Dentist | 1704 Stirling Rd., Hollywood, FL 33020 | 2018-06-14 |
| 1295223451 | Broward Treatment Center | Substance Abuse Rehabilitation Facility | 1101 S 21 Ave, Hollywood, FL 33020 | 2018-04-24 |
| 1033617220 | Laura Goldman | Psychologist | 2514 Hollywood Blvd Ste 404, Hollywood, FL 33020 | 2018-01-23 |
| 1205344835 | Sunshine Health Supplies LLC | Durable Medical Equipment & Medical Supplies | 1926 Hollywood Blvd Ste 204, Hollywood, FL 33020 | 2018-01-17 |
| 1124536222 | Melina Rodriguez | Counselor | 3400 N 29th Avenue, Hollywood, FL 33020 | 2018-01-11 |
| 1003337783 | Publix Super Markers, Inc | Durable Medical Equipment & Medical Supplies | 1776 Polk St., Hollywood, FL 33020 | 2017-07-03 |
| Find all providers in zip 33020 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912510421 | Michelle Hart | Counselor | 2500 Hollywood Blvd Ste 309, Hollywood, FL 33020-6615 | 2020-08-25 |
| 1124645262 | Natalie Alazrachi, Pa | Counselor | 2421 Hollywood Blvd Ste 2, Hollywood, FL 33020-6605 | 2020-07-05 |
| 1558984526 | Erin Ladwig | Counselor | 3510 Harrison St Apt 7, Hollywood, FL 33021-7428 | 2020-05-25 |
| 1043830425 | Goddess Health & Wellness, LLC | Counselor | 5420 Hollywood Blvd Apt 111, Hollywood, FL 33021-6481 | 2020-04-25 |
| 1255951406 | Eniola Dada | Counselor | 4093 Cascada Cir, Hollywood, FL 33024-8517 | 2020-04-17 |
| 1033748025 | Deborah Blum | Counselor | 1918 Harrison St Ste 203, Hollywood, FL 33020-5066 | 2020-04-02 |
| 1992343727 | Jaime Cowhick | Counselor | 1845 Liberty St Apt 11, Hollywood, FL 33020-2433 | 2019-12-11 |
| 1194360412 | Timothy Leistner | Counselor | 3911 Hollywood Blvd # 3201, Hollywood, FL 33021-6795 | 2019-11-11 |
| 1952943359 | Nikita-charisma Janelle Nicholas | Counselor | 5400 Johnson St, Hollywood, FL 33021-5724 | 2019-10-17 |
| 1003467861 | Gregory Reid Adelstein | Counselor | 3418 Ottawa Ln, Hollywood, FL 33026-4616 | 2019-09-24 |
| Find all providers in HOLLYWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.