DR. BROOKE LYALL FORIS (NPI# 1558653071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558653071 |
| Entity Type | Individual |
| Full Name | DR. BROOKE LYALL FORIS |
| Credential | PSY.D. |
| Practice Address |
3850 S University Dr 291225 Davie FL 33329-8573 |
| Mailing Address |
2925 Myrtle Oak Cir Davie FL 33328-6739 |
| Practice Telephone | 9547899053 |
| Practice Fax Number | 9542523856 |
| Mailing Telephone | 9547071326 |
| Enumeration Date | 2011-05-03 |
| Last Update Date | 2015-11-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 8274 | FL | Behavioral Health & Social Service Providers |
| Street Address |
3850 S UNIVERSITY DR 291225 |
| City | DAVIE |
| State | FL |
| Zip Code | 33329-8573 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780243618 | Xiomara Martinez | Social Worker | 3850 S University Dr, Davie, FL 33329-8573 | 2019-06-13 |
| 1942637806 | Seekingsolutions, LLC | Counselor | 3850 S University Dr, #292672, Davie, FL 33329-8573 | 2013-10-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245846880 | Mcs Music Therapy LLC | Music Therapist | 3850 S University Dr Unit 290793, Davie, FL 33329-8437 | 2020-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083215735 | Ahecio Alexander Labrada Izquierdo | Nurse Practitioner | 624 Sw 132nd Ter, Davie, FL 33325-3242 | 2020-11-07 |
| 1689275349 | Ydalina Inmaculada Coste Jimenez | Specialist/Technologist, Other | 6817 College Ct Apt 103, Davie, FL 33317-7169 | 2020-11-07 |
| 1558962019 | Ldg Medical Center LLC | Clinic/Center | 4485 Stirling Rd, Davie, FL 33314-7517 | 2020-11-02 |
| 1801496674 | Brandon Martinez | Day Training, Developmentally Disabled Services | 1884 Sw 81st Way, Davie, FL 33324-4609 | 2020-10-29 |
| 1962002154 | Precision Skin LLC | Dermatology | 3501 S University Dr Ste 5, Davie, FL 33328-2001 | 2020-10-28 |
| 1740889294 | Lisa J Cordero | Counselor | 12700 Trotter Blvd, Davie, FL 33330-4311 | 2020-10-25 |
| 1104425669 | Alina Poll | Nurse Practitioner | 6050 Ravenswicke Ter, Davie, FL 33331-3400 | 2020-10-25 |
| 1447859723 | Leslie Walker | Student in an Organized Health Care Education/Training Program | 3891 W State Road 84 Unit 303, Davie, FL 33312-8826 | 2020-10-19 |
| 1558969618 | Annika Rockwell | Dietitian, Registered | 15215 Sw 51st St, Davie, FL 33331-2843 | 2020-10-12 |
| 1912504911 | Claudia Diaz | Behavior Technician | 11472 Rexmere Blvd, Davie, FL 33325-4018 | 2020-10-03 |
| Find all providers in DAVIE | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184092280 | Alessandra Shapiro | Psychologist | 7600 Sw 36th St, Davie, FL 33328-1902 | 2015-09-04 |
| 1629492830 | Jacob Connolly | Psychologist | 1839 Sw 81st Ter, Davie, FL 33324-4643 | 2014-02-07 |
| 1144497546 | Darnley Georges Elizee | Psychologist | 12555 Orange Dr Ste 208, Davie, FL 33330-4304 | 2008-05-14 |
| 1871795559 | Mary Beth Lopez | Psychologist | 6331 Sw 41st Ct, Davie, FL 33314-3405 | 2007-06-04 |
| 1073670808 | Elaine Karbonik | Psychologist | 5337 Orange Dr, Davie, FL 33314-3815 | 2007-01-02 |
| 1548358294 | Michael Fish | Psychologist | 10200 W State Road 84 Ste 105, Davie, FL 33324-4218 | 2006-10-10 |
| 1710910088 | Linda Radford | Psychologist | 12565 Orange Dr, #411, Davie, FL 33330-4303 | 2006-07-09 |
| 1639796675 | Seasons Psychotherapy Associates LLC | Psychologist | 12505 Orange Dr Ste 908, Davie, FL 33330-4300 | 2020-06-25 |
| 1134785090 | John Francis Skicki | Psychologist | 3301 College Ave, Davie, FL 33314-7721 | 2019-05-16 |
| 1801352471 | Jennifer E Sincore | Psychologist | 3440 S University Dr, Davie, FL 33328-2000 | 2019-02-19 |
| Find all providers in DAVIE | ||||
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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.