CENTER FOR NEUROPSYCHOLOGICAL ASSESSMENT SERVICES LLC (NPI# 1447559448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447559448 |
| Entity Type | Organization |
| Organization Name | CENTER FOR NEUROPSYCHOLOGICAL ASSESSMENT SERVICES LLC |
| Practice Address |
3501 Johnson St Hollywood FL 33021-5421 |
| Mailing Address |
319 Desoto St Hollywood FL 33019-4501 |
| Practice Telephone | 9542587646 |
| Mailing Telephone | 9542587646 |
| Enumeration Date | 2011-03-16 |
| Last Update Date | 2011-08-15 |
| Authorized Official Name | DR. THOMAS ALAN CRUM (PRESIDENT) |
| Authorized Official Telephone | 9542587646 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | PY6720 | FL | Behavioral Health & Social Service Providers |
| Street Address |
3501 JOHNSON ST |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33021-5421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124021274 | Trevor Swerdlow | Radiology | 3501 Johnson St, Hollywood, FL 33021-5421 | 2005-05-23 |
| 1619575784 | Shaquira Wells | Nurse Practitioner | 3501 Johnson St, Hollywood, FL 33021-5421 | 2020-10-12 |
| 1013521897 | Coeurlande Carry | Nurse Practitioner | 3501 Johnson St, Hollywood, FL 33021-5421 | 2020-08-31 |
| 1386255420 | Bernandes Jean-louis | Nurse Practitioner | 3501 Johnson St, Hollywood, FL 33021-5421 | 2020-08-12 |
| 1770194136 | Rock J Saint Louis | Nurse Practitioner | 3501 Johnson St, Hollywood, FL 33021-5421 | 2020-08-11 |
| 1851916282 | Porsha St Pierre | Nurse Practitioner | 3501 Johnson St, Hollywood, FL 33021-5421 | 2020-06-11 |
| 1770105918 | Robert Woods | Pharmacist | 3501 Johnson St, Inpatient Pharmacy, Hollywood, FL 33021-5421 | 2020-05-11 |
| 1114548013 | Kelsey Taylor | Registered Nurse | 3501 Johnson St, Hollywood, FL 33021-5421 | 2020-05-01 |
| 1588285464 | Aaron Alexander North | Pharmacist | 3501 Johnson St, Hollywood, FL 33021-5421 | 2020-05-01 |
| 1932728714 | Patricia L. Altamirano | Nurse Practitioner | 3501 Johnson St, Hollywood, FL 33021-5421 | 2020-04-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548893894 | Seminole Tribe of Florida Health Department | Pharmacy | 111 W. Coral Way, Hollywood, FL 33021 | 2020-02-14 |
| 1437714086 | Emilia Roxana Gucciardo | Physician Assistant | 4510 Sheridan Street, Attn: William Pepe, Hollywood, FL 33021 | 2019-05-08 |
| 1649763673 | Sabrina Shoba Mathura | Behavior Technician | 4400 Madison St, Hollywood, FL 33021 | 2018-06-13 |
| 1558850149 | South Broward Hospital District | Pediatrics | 105 Joe Dimaggio Dr, Pediatric Heart Station, Hollywood, FL 33021 | 2018-05-09 |
| 1942798368 | Kyndra Monique Liburd | Student in an Organized Health Care Education/Training Program | Attn: Pediatric Residency Program, 1005 Joe Dimaggio Drive, Hollywood, FL 33021 | 2018-05-01 |
| 1992292106 | Madeleine Mariela Reyes | Nurse Practitioner | 5010 Hollywood Boulevard #100-b, Hollywood, FL 33021 | 2018-04-13 |
| 1487168233 | Gynecologic Oncology & Urogynecology | Obstetrics & Gynecology | 1150 N 35th Ave Ste 670, Hollywood, FL 33021 | 2017-11-30 |
| 1245743012 | Healix Healthcare Services, LLC | Obstetrics & Gynecology | 3990 Sheridan St Ste 207, Hollywood, FL 33021 | 2017-11-14 |
| 1093233587 | Benjamin Laborde | Physical Therapy Assistant | 4200 Washington Street, Hollywood, FL 33021 | 2017-09-05 |
| 1477079358 | Tt Trans, LLC | Non-emergency Medical Transport (VAN) | 3550 Washington Street, 502, Hollywood, FL 33021 | 2017-08-22 |
| Find all providers in zip 33021 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245656792 | South Broward Hospital District | Clinical Neuropsychologist | 3600 Washington St Ste 1005, Hollywood, FL 33021-8216 | 2014-03-07 |
| 1538385919 | Jacqueline C Valdes | Clinical Neuropsychologist | 2214 Hollywood Blvd, Hollywood, FL 33020-6702 | 2007-04-17 |
| 1962528133 | William A Sherman Jr. | Clinical Neuropsychologist | 44610 Smiths Nursery Rd, Hollywood, MD 20636-2902 | 2007-03-21 |
| 1336258144 | Steven Lloyd Ganzell | Clinical Neuropsychologist | 6115 Selma Ave, Suite 200, Hollywood, CA 90028-6440 | 2006-08-29 |
| 1831177435 | Jacqueline Chehebar-valdes Phd Pa | Clinical Neuropsychologist | 2214 Hollywood Boulevard, Hollywood, FL 33020 | 2006-01-04 |
| 1629589833 | Cristina Carolina Santiago | Clinical Neuropsychologist | 1150 N 35th Ave Ste 520, Hollywood, FL 33021-5431 | 2017-10-14 |
| 1023401932 | Marian Rosado | Clinical Neuropsychologist | 3600 Washington St Ste 1005, Hollywood, FL 33021-8216 | 2015-03-17 |
| 1275826125 | Thomas A. Crum, Ph.d., Pa | Clinical Neuropsychologist | 450 N Park Rd, Suite 502, Hollywood, FL 33021-6917 | 2011-05-25 |
| 1740583582 | Christina Maria Zafiris | Clinical Neuropsychologist | 4651 Sheridan St, Ste 150, Hollywood, FL 33021-3457 | 2010-12-17 |
| 1548577034 | Lawrence Brooks | Clinical Neuropsychologist | 3810 Hollywood Blvd, Suite 2, Hollywood, FL 33021-6779 | 2010-09-07 |
| 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.