PROFESSIONALS TRUST INC. (NPI# 1750565925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750565925 |
| Entity Type | Organization |
| Organization Name | PROFESSIONALS TRUST INC. |
| Practice Address |
2650 W State Road 84 L03 Fort Lauderdale FL 33312-4882 |
| Practice Telephone | 9543270396 |
| Practice Fax Number | 9543270397 |
| Mailing Telephone | 9543270396 |
| Mailing Fax Number | 9543270397 |
| Enumeration Date | 2007-12-24 |
| Last Update Date | 2007-12-24 |
| Authorized Official Name | DR. JOHN ALBERT LA POINTE (DIRECTOR) |
| Authorized Official Telephone | 9543270397 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 4624 | FL | Behavioral Health & Social Service Providers |
| Street Address |
2650 W STATE ROAD 84 L03 |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33312-4882 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679112965 | Krista Moreno | Marriage & Family Therapist | 2699 Stirling Road Building C Suite 403e, Fort Lauderdale, FL 33312 | 2020-01-03 |
| 1700428026 | Caring Village of Lauderdale LLC | Assisted Living Facility | 408-412 Sw 7th Ave, Fort Lauderdale, FL 33312 | 2019-10-09 |
| 1548742356 | Inspire Acupuncture | Acupuncturist | 1000 Riverside Drive, Fort Lauderdale, FL 33312 | 2018-08-29 |
| 1447762919 | Daniel Desta Bekele | General Practice | 1001 W Las Olas Blvd Apt 4, Fort Lauderdale, FL 33312 | 2017-10-24 |
| 1649798653 | Angel Luis Perez | Nurse Practitioner | 3041 Sw 47 Street, Fort Lauderdale, FL 33312 | 2017-08-30 |
| 1902322738 | Ashley Ingrid Rini | Dentist | 1620 Sw 33rd Ave, Fort Lauderdale, FL 33312 | 2017-08-14 |
| 1548794993 | Elise Cruz | Nurse Practitioner | 3301 Sw 16th Street, Fort Lauderdale, FL 33312 | 2017-04-12 |
| 1619415924 | Antoinette Battle | Nurse Practitioner | 3470 Sw 19th Street, Fort Lauderdale, FL 33312 | 2017-02-07 |
| 1902344252 | Melissa Miller | Counselor | 2962 Southwest 26th Terrace, 204, Fort Lauderale, FL 33312 | 2017-02-07 |
| 1164975934 | Brandon Nieves Stella | Technician, Other | 620 Sw 14th Ter, Fort Lauderdale, FL 33312 | 2016-07-28 |
| Find all providers in zip 33312 | ||||
| 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 |
|---|---|---|---|---|
| 1114550738 | Sarah Mikhail | Psychologist | 915 Middle River Dr Ste 204, Fort Lauderdale, FL 33304-3559 | 2020-02-21 |
| 1700423373 | Psychological Healing Solutions | Psychologist | 2699 Stirling Rd Ste C304, Fort Lauderdale, FL 33312-6592 | 2019-12-03 |
| 1932615960 | Integrative Therapy Solutions Bh LLC | Psychologist | 915 Ne 20th Ave Ste B, Fort Lauderdale, FL 33304-3037 | 2017-12-28 |
| 1720590979 | Maria Leticia Vera | Psychologist | 3113 Stirling Rd Ste 204, Fort Lauderdale, FL 33312-6547 | 2017-10-27 |
| 1477862753 | Marsha Brown | Psychologist | 757 Se 17th St Ste 622, Fort Lauderdale, FL 33316-2960 | 2010-10-04 |
| 1912132895 | Dr. Allison Moten, P.a. | Psychologist | 101 Ne 3rd Ave, Suite 1500, Fort Lauderdale, FL 33301-1162 | 2009-05-21 |
| 1548407919 | Tiesha Simona Nelson | Psychologist | 1033 Nw 6th St Ste 202, Fort Lauderdale, FL 33311-8125 | 2009-01-07 |
| 1356548853 | Clifton Mclesky Ables | Psychologist | 1975 E Sunrise Blvd Ste 815, Fort Lauderdale, FL 33304-1455 | 2007-06-28 |
| 1457568370 | Daryl Edwin Vorce | Psychologist | 1000 Sw 2nd St, Fort Lauderdale, FL 33312-7134 | 2007-05-17 |
| 1801008693 | Michael S. Parish | Psychologist | 1421 Se 4th Ave, Suite D, Fort Lauderdale, FL 33316-1900 | 2007-05-04 |
| Find all providers in FORT LAUDERDALE | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33312 |
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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.