CHILDRENS DIAGNOSTIC & TREATMENT CENTER (NPI# 1699907832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699907832 |
| Entity Type | Organization |
| Organization Name | CHILDRENS DIAGNOSTIC & TREATMENT CENTER |
| Practice Address |
1401 S Federal Hwy Fort Lauderdale FL 33316-2619 |
| Mailing Address |
Po Box 862851 Orlando FL 32886-2851 |
| Practice Telephone | 9547288080 |
| Practice Fax Number | 9547791957 |
| Mailing Telephone | 9547288080 |
| Mailing Fax Number | 9547791957 |
| Enumeration Date | 2009-08-21 |
| Last Update Date | 2017-11-28 |
| Authorized Official Name | ANA CALDERON-RANDAZZO (ADMINSTRATOR) |
| Authorized Official Telephone | 9547281060 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | Y |
| Parent Organization Name | CHILDRENS DIAGNOSTIC & TREATMENT CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 006458400 | 05 | |
| FL | BCBS | 34478 | 01 |
| Street Address |
1401 S FEDERAL HWY |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33316-2619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497740914 | Patricia A Garvie | Psychologist | 1401 S Federal Hwy, Fort Lauderdale, FL 33316-2619 | 2005-09-12 |
| 1316550817 | Keron Shand | Social Worker | 1401 S Federal Hwy, Fort Lauderdale, FL 33316-2619 | 2020-08-25 |
| 1851924906 | Rose Rachelle L Nicolas | Social Worker | 1401 S Federal Hwy, Fort Lauderdale, FL 33316-2619 | 2020-02-18 |
| 1437792108 | Elizabeth Hernandez | Social Worker | 1401 S Federal Hwy, Fort Lauderdale, FL 33316-2619 | 2019-10-24 |
| 1649823717 | Flor Guzman | Social Worker | 1401 S Federal Hwy, Fort Lauderdale, FL 33316-2619 | 2019-07-18 |
| 1851858385 | Maria Monroe | Social Worker | 1401 S Federal Hwy, Fort Lauderdale, FL 33316-2619 | 2019-02-20 |
| 1689139164 | Rachelle Pigeot | Social Worker | 1401 S Federal Hwy, Fort Lauderdale, FL 33316-2619 | 2019-02-08 |
| 1750846770 | Maria L Berrios | Social Worker | 1401 S Federal Hwy, Fort Lauderdale, FL 33316-2619 | 2019-02-04 |
| 1831660745 | Bethie Alfred | Social Worker | 1401 S Federal Hwy, Fort Lauderdale, FL 33316-2619 | 2018-12-17 |
| 1518437813 | Katrina Anderson | Social Worker | 1401 S Federal Hwy, Fort Lauderdale, FL 33316-2619 | 2018-11-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366064040 | Jonathan David Ortiz | Behavior Technician | 1717 Se 4 Ave, Fort Lauderdale, FL 33316 | 2020-05-15 |
| 1306311626 | Gateway Recovery Center, LLC | Counselor | 1421 Sw 4th Avenue, Suite B, Fort Lauderdale, FL 33316 | 2018-10-13 |
| 1588141626 | Natan Bastoky | Family Medicine | 1600 S Andrews Ave # Gme, Fort Lauderdale, FL 33316 | 2018-07-22 |
| 1104320126 | Kathleen Kanani Graham | Pharmacist | 1401 S. Federal Highway, Ft. Lauderdale, FL 33316 | 2018-03-23 |
| 1093224271 | Lacosta Therapy, LLC | Behavioral Analyst | 412 Se 15 St., #4, Ft. Lauderdale, FL 33316 | 2017-09-20 |
| 1124560370 | Yulia Rybalka | Pharmacist | 217 Se 10th Street, Ft Lauderdale, FL 33316 | 2016-11-04 |
| 1730635376 | Brian Alexander Reyes | Specialist/Technologist | 303 Se 3rd Ave, Ft Lauderdale, FL 33316 | 2016-09-01 |
| 1649726282 | Jennifer Tabares | Specialist/Technologist | 303 Southeast 3rd Av, Fort Lauderdale, FL 33316 | 2016-09-01 |
| 1609236850 | Diane Nicole Shilling | Nurse Practitioner | 1001 South Andrews Avenue, Suite 100, Ft. Lauderdale, FL 33316 | 2016-03-01 |
| 1396113239 | Victoria Rosado | Adult Companion | 150 Se 12th Street, 401(b), Fort Lauderdale, FL 33316 | 2015-09-09 |
| Find all providers in zip 33316 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275134066 | Hyacinth Anne Morgan | Counselor | 1001 W Cypress Creek Rd Ste 302s, Fort Lauderdale, FL 33309-1950 | 2020-11-06 |
| 1871192203 | Kamari L Pasley | Counselor | 1900 Nw 16th Ct, Fort Lauderdale, FL 33311-4639 | 2020-10-17 |
| 1134746829 | Chinyere Tunsill | Counselor | 1000 Long Island Ave, Fort Lauderdale, FL 33312-2674 | 2020-06-29 |
| 1750906848 | Darcy Holm | Counselor | 3000 N Federal Hwy Ste 5, Fort Lauderdale, FL 33306-1416 | 2020-06-15 |
| 1356977078 | Herz Counseling Group, LLC | Counselor | 4390 N Federal Hwy Ste 208, Fort Lauderdale, FL 33308-5200 | 2020-03-13 |
| 1558997346 | Paulina Scaturro | Counselor | 4413 Ne 21st Ave, Fort Lauderdale, FL 33308-5603 | 2020-03-12 |
| 1144855925 | Victoria Baca | Counselor | 501 Ne 5th Ter Apt 314, Fort Lauderdale, FL 33301-0014 | 2020-03-11 |
| 1184254476 | Shaira A. Shah | Counselor | 2699 Stirling Rd Ste C307, Fort Lauderdale, FL 33312-6564 | 2020-01-25 |
| 1194364893 | Jennifer Tiech | Counselor | 2901 W Cypress Creek Rd Ste 123124, Fort Lauderdale, FL 33309-1730 | 2019-12-27 |
| 1205475167 | Tara Yombor | Counselor | 545 Sw 18th Ave Unit 34, Fort Lauderdale, FL 33312-7704 | 2019-12-24 |
| Find all providers in FORT LAUDERDALE | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33316 |
Please comment or provide details below to improve the information on CHILDRENS DIAGNOSTIC & TREATMENT CENTER.
| 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.