BROWARD PSYCHOLOGICAL SERVICES, INC. (NPI# 1265895338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265895338 |
| Entity Type | Organization |
| Organization Name | BROWARD PSYCHOLOGICAL SERVICES, INC. |
| Practice Address |
1941 Nw 150th Ave Suite 104 Pembroke Pines FL 33028-2874 |
| Practice Telephone | 9543744747 |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2016-04-05 |
| Authorized Official Name | NICOLA RAJARAM (BILLING MANAGER) |
| Authorized Official Telephone | 9542726723 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
FL | Ambulatory Health Care Facilities |
| Street Address |
1941 NW 150TH AVE SUITE 104 |
| City | PEMBROKE PINES |
| State | FL |
| Zip Code | 33028-2874 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972839439 | Jeannie Chandler Nunez | Psychologist | 1941 Nw 150th Ave, Suite 104, Pembroke Pines, FL 33028-2874 | 2009-10-19 |
| 1376881300 | Jeannie C. Nunez, Psy.d. | Psychologist | 1941 Nw 150th Ave, Suite 104, Pembroke Pines, FL 33028-2874 | 2013-01-25 |
| 1588923379 | Broward Psychological Services | Clinic/Center | 1941 Nw 150th Ave, 104, Pembroke Pines, FL 33028-2874 | 2012-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821570276 | Grace Olivine Lue | Nurse Practitioner | 2291 Nw 171 Terrace, Pembroke Pines, FL 33028 | 2018-09-02 |
| 1336658194 | Edna Daniel | Registered Nurse | 16213 Nw 18th Street, Pembroke Pines, FL 33028 | 2017-09-25 |
| 1093257032 | Carlos Eduardo Florian Jr. | Physical Therapist | 701 North Flamingo Road, Pembroke Pines, FL 33028 | 2016-11-08 |
| 1760868574 | Clara Elisa Delgado | Nurse Practitioner | 601 N Flamingo Road Suite 105, Pembroke Pines, FL 33028 | 2015-08-04 |
| 1942614375 | Emmanuel Magboo | Physical Therapist | 1563 Nw 159 Lane, Pembroke Pines, FL 33028 | 2014-06-13 |
| 1134546302 | Tahnie Danastor | Obstetrics & Gynecology | 601 N Flamingo Rd Ste 307, Pembroke Pines, FL 33028 | 2014-03-25 |
| 1316388200 | Mirella Silva-bass | Counselor | 2250 Nw 136 Ave # 100f, Pembroke Pines, FL 33028 | 2013-07-09 |
| 1932447364 | Grazia Oropesa | Nurse Practitioner | 12824 Nw 21st St, Pembroke Pines, FL 33028 | 2013-01-18 |
| 1548545320 | Rita Galliano | Speech-Language Pathologist | 1261 Nw 141st Ave, Pembroke Pines, FL 33028 | 2011-10-12 |
| 1033429949 | Paulette Paul | Registered Nurse | 15575 N.w. 12th Court, Pembroke Pines, FL 33028 | 2010-10-13 |
| Find all providers in zip 33028 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
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|---|---|---|---|---|
| 1851729982 | Greenlife Intensive Outpatient Program LLC | Clinic/Center | 1601 N Palm Ave Ste 106, Pembroke Pines, FL 33026-3240 | 2013-10-29 |
| 1740638717 | Greenlife Intensive Outpatient Program, LLC | Clinic/Center | 1601 N Palm Ave, Suite 106, Pembroke Pines, FL 33026-3200 | 2016-05-31 |
| 1588923379 | Broward Psychological Services | Clinic/Center | 1941 Nw 150th Ave, 104, Pembroke Pines, FL 33028-2874 | 2012-05-14 |
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| Find all providers with the same taxonomy | ||||
| City | PEMBROKE PINES |
| Zip Code | 33028 |
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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.