DR. TARA LIVENGOOD (NPI# 1649750753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649750753 |
| Entity Type | Individual |
| Full Name | DR. TARA LIVENGOOD |
| Credential | PSYD |
| Practice Address |
1657 Monroe St Hollywood FL 33020-5515 |
| Practice Telephone | 8043062154 |
| Mailing Telephone | 8043062154 |
| Enumeration Date | 2018-08-17 |
| Last Update Date | 2018-08-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY10222 | FL | Behavioral Health & Social Service Providers |
| Street Address |
1657 MONROE ST |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33020-5515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629694203 | Oaks Medical Group, LLC | Internal Medicine | 2854 Jackson St, Hollywood, FL 33020 | 2020-06-19 |
| 1487217949 | Yaneisy Correa Vento Sr. | Nurse Practitioner | 2700 E Hollywood Blud, Hollywood, FL 33020 | 2019-04-19 |
| 1811453590 | Sandra's Car Service LLC | Non-emergency Medical Transport (VAN) | 2048 Mckinley St. Bay #1, Hollywood, FL 33020 | 2019-02-18 |
| 1134605330 | Cruz Ines Diaz | Peer Specialist | 3400 N- 29th Avenue, Hollywood, FL 33020 | 2018-07-11 |
| 1598258451 | Brian Tran | Dentist | 1704 Stirling Rd., Hollywood, FL 33020 | 2018-06-14 |
| 1295223451 | Broward Treatment Center | Substance Abuse Rehabilitation Facility | 1101 S 21 Ave, Hollywood, FL 33020 | 2018-04-24 |
| 1033617220 | Laura Goldman | Psychologist | 2514 Hollywood Blvd Ste 404, Hollywood, FL 33020 | 2018-01-23 |
| 1205344835 | Sunshine Health Supplies LLC | Durable Medical Equipment & Medical Supplies | 1926 Hollywood Blvd Ste 204, Hollywood, FL 33020 | 2018-01-17 |
| 1124536222 | Melina Rodriguez | Counselor | 3400 N 29th Avenue, Hollywood, FL 33020 | 2018-01-11 |
| 1003337783 | Publix Super Markers, Inc | Durable Medical Equipment & Medical Supplies | 1776 Polk St., Hollywood, FL 33020 | 2017-07-03 |
| Find all providers in zip 33020 | ||||
| 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 |
| 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 |
| 1851563639 | Howard Marcus, P.a. | Psychologist | 11092 Topeka Pl, Hollywood, FL 33026-4848 | 2008-04-01 |
| 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.