BROWARD PSYCHOLOGICAL GROUP INC (NPI# 1467607960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467607960 |
| Entity Type | Organization |
| Organization Name | BROWARD PSYCHOLOGICAL GROUP INC |
| Practice Address |
4400 Sheridan St Hollywood FL 33021-3514 |
| Practice Telephone | 9549615447 |
| Mailing Telephone | 9549615447 |
| Enumeration Date | 2008-11-25 |
| Last Update Date | 2009-01-12 |
| Authorized Official Name | DR. WARREN BYRON GRADITOR (PRESIDENT) |
| Authorized Official Telephone | 9549615447 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY002243 | FL | Behavioral Health & Social Service Providers |
| Street Address |
4400 SHERIDAN ST |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33021-3514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235108143 | Warren B. Graditor | Psychologist | 4400 Sheridan St, Hollywood, FL 33021-3514 | 2006-03-14 |
| 1356769350 | Kevin Mccarthy | Orthopaedic Surgery | 4400 Sheridan St, Hollywood, FL 33021 | 2014-04-07 |
| 1508169962 | South Florida Sinus and Allergy Center, Inc | Otolaryngology | 4400 Sheridan St, Hollywood, FL 33021-3514 | 2010-12-07 |
| 1902130081 | Ana Cristina Nicholls | Physician Assistant | 4400 Sheridan St, Hollywood, FL 33021-3514 | 2009-09-23 |
| 1932216918 | Broward Institute of Orthopaedic Specialties LLC | Orthopaedic Surgery | 4400 Sheridan St, Hollywood, FL 33021-3514 | 2006-08-24 |
| 1447279070 | Jeffrey Worth | Orthopaedic Surgery | 4400 Sheridan St, Hollywood, FL 33021-3514 | 2006-07-18 |
| 1376561902 | Kenneth W Taylor | Orthopaedic Surgery | 4400 Sheridan St, Hollywood, FL 33021-3514 | 2006-07-18 |
| 1851326029 | Lee Michael Mandel | Otolaryngology | 4400 Sheridan St, Hollywood, FL 33021-3514 | 2006-07-12 |
| 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 | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144859836 | Deanne Samuels | Psychologist | 3856 Sw 52nd Ave, Hollywood, FL 33023-6905 | 2020-04-04 |
| 1649750753 | Tara Livengood | Psychologist | 1657 Monroe St, Hollywood, FL 33020-5515 | 2018-08-17 |
| 1033617220 | Laura Goldman | Psychologist | 2514 Hollywood Blvd Ste 404, Hollywood, FL 33020 | 2018-01-23 |
| 1982122941 | Barry Alan Schneider | Psychologist | 12109 Landing Way, Hollywood, FL 33026-1006 | 2017-08-30 |
| 1144697145 | Kareem Edwards | Psychologist | 2455 Hollywood Blvd Ste 208, Hollywood, FL 33020 | 2015-08-25 |
| 1639599913 | Kavita Katrina Marajh | Psychologist | 6365 Taft St Ste 1003, Hollywood, FL 33024 | 2014-04-24 |
| 1972937373 | John V. Maurer Inc. | Psychologist | 4224 N Ocean Dr, Hollywood, FL 33019-4004 | 2013-08-21 |
| 1487998951 | Myrna F. Ziegler, Psy.d.,p.a. | Psychologist | 4948 N 33rd Ct, Hollywood, FL 33021-2363 | 2012-11-21 |
| 1669723276 | Ximena Celedon Flanders | Psychologist | 1005 Joe Dimaggio Dr Ste 100, Hollywood, FL 33021-5402 | 2012-09-21 |
| 1134437908 | Cindy Melissa Moreira-harris | Psychologist | 3395 Sheridan St, Ste 103, Hollywood, FL 33021-3606 | 2010-09-15 |
| 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.