PALMWOOD CENTER FOR PSYCHOLOGICAL SERVICES, P.A. (NPI# 1306055942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306055942 |
| Entity Type | Organization |
| Organization Name | PALMWOOD CENTER FOR PSYCHOLOGICAL SERVICES, P.A. |
| Practice Address |
8890 W Oakland Park Blvd Suite #103 Sunrise FL 33351-7235 |
| Practice Telephone | 9547427032 |
| Practice Fax Number | 9547427868 |
| Mailing Telephone | 9547427032 |
| Mailing Fax Number | 9547427868 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2011-04-27 |
| Authorized Official Name | DR. ALEC ROTH (LICENSED PSYCHOLOGIST) |
| Authorized Official Telephone | 9547427032 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY0004153 | FL | Behavioral Health & Social Service Providers |
| Street Address |
8890 W OAKLAND PARK BLVD SUITE #103 |
| City | SUNRISE |
| State | FL |
| Zip Code | 33351-7235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821092701 | Steven David Fayne | Internal Medicine | 8890 W Oakland Park Blvd, Ste 100, Sunrise, FL 33351-7223 | 2005-06-09 |
| 1083252985 | Gargi Gharat | Physician Assistant | 8890 W Oakland Park Blvd, Sunrise, FL 33351 | 2019-12-11 |
| 1235781873 | Leslie Michelle Diaz-ortiz | Clinical Neuropsychologist | 8890 W Oakland Park Blvd, Sunrise, FL 33351-7235 | 2019-07-14 |
| 1477850907 | Aaron Schwartz D.o., Pa | Internal Medicine | 8890 W Oakland Park Blvd, 100, Sunrise, FL 33351-7235 | 2011-02-18 |
| 1720385362 | Steven D. Fayne, M.d. P.a. | Internal Medicine | 8890 W Oakland Park Blvd, 100, Sunrise, FL 33351-7235 | 2011-02-17 |
| 1215234810 | Armando A. Fernandez Md, Pa | Internal Medicine | 8890 W Oakland Park Blvd, 100, Sunrise, FL 33351-7235 | 2011-02-16 |
| 1073783569 | Tie Qian Md Pa | General Practice | 8890 W Oakland Park Blvd, Suite 302, Sunrise, FL 33351-7235 | 2008-03-11 |
| 1366569790 | All Female Health Care Inc | Nurse Practitioner | 8890 W Oakland Park Blvd, Suite 102, Sunrise, FL 33351-7235 | 2007-03-22 |
| 1952316325 | Federal Health Care Services, Inc. | Home Health | 8890 W Oakland Park Blvd, Suite 200, Sunrise, FL 33351-7235 | 2006-07-31 |
| 1649233925 | Soling Li | Internal Medicine | 8890 W Oakland Park Blvd, Suite 203, Sunrise, FL 33351-7235 | 2006-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811595945 | Nicole Walters | Nurse Practitioner | 4900 Nw 92nd Ave, Sunrise, FL 33351 | 2020-10-12 |
| 1811539141 | Springbirds Caregivers, Inc | Home Health | 8469 W Aokland Park Blvd, Sunrise, FL 33351 | 2019-10-08 |
| 1841842457 | Pacifica Sl Sunrise LLC | Assisted Living Facility | 4201 Springtree Drive, Sunrise, FL 33351 | 2019-07-13 |
| 1376019216 | Carla Sue Castiglione | Dietitian, Registered | 4800 Nob Hill Road, Sunrise, FL 33351 | 2018-10-18 |
| 1114493202 | Sunrise Family Smiles, Pa | Clinic/Center | 9440 West Commercial Blvd, Suite 105, Sunrise, FL 33351 | 2018-10-16 |
| 1134619505 | Brush Lauderhill, Pllc | Dentist | 7752 W. Commercial Blvd, Lauderhill, FL 33351 | 2018-05-11 |
| 1336658749 | Manuel Alexis Guilarte | Technician, Other | 10307 Nw 33rd Pl, Sunrise, FL 33351 | 2017-09-28 |
| 1801319009 | Latavia Cheri London | Technician, Other | 9429 Nw 42nd Street, 9429 Nw 42nd Street, Sunrise, FL 33351 | 2017-07-19 |
| 1225567662 | Maite Blanco | Counselor | 10994 Nw 40 Street, Sunrise, FL 33351 | 2017-06-08 |
| 1902335599 | Ella-shanie Benyakar | Speech-Language Pathologist | 9477 Nw 39th Pl, Sunrise, FL 33351 | 2017-06-07 |
| Find all providers in zip 33351 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356647804 | Nava Goldenholz Ph.d. P.a. | Psychologist | 3132 N. Pine Island Road, Sunrise, FL 33351-7333 | 2011-02-01 |
| 1487972980 | Savianne Vinton Maharaj | Psychologist | 1560 Sawgrass Corp Parkway #450, Sunrise, FL 33323 | 2010-05-07 |
| 1386871184 | Natalie Marie Va | Psychologist | 2900 Nw 125th Ave Unit 3-107, Sunrise, FL 33323-6329 | 2009-06-18 |
| 1235314287 | Alyse Michelle Gilbert | Psychologist | 7800 W Oakland Park Blvd Ste 102, Sunrise, FL 33351-6742 | 2008-01-08 |
| 1184807570 | Maria A Lucchesi | Psychologist | 1398 Sw 160th Ave Ste 302, Sunrise, FL 33326-1988 | 2007-12-09 |
| 1295895589 | Nava Goldenholz | Psychologist | 3132 Nw 88th Ave, Sunrise, FL 33351-7333 | 2006-12-09 |
| 1174616841 | Carol Seidman | Psychologist | 7800 W. Oakland Park Blvd., Suite 102, Sunrise, FL 33351-6742 | 2006-10-02 |
| 1215955695 | Laurence L. Dayton | Psychologist | 1560 Sawgrass Corporate Pkwy, 4th Floor, Sunrise, FL 33323-2858 | 2006-07-17 |
| 1962435271 | Michelle R Demenkow, Pa | Psychologist | 14201 W Sunrise Blvd Ste 208, Sunrise, FL 33323 | 2006-07-09 |
| 1902892300 | Laura C. Hohnecker | Psychologist | 4300 N University Dr, Suite C100, Sunrise, FL 33351-6249 | 2005-09-21 |
| Find all providers in SUNRISE | ||||
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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.