MARK S WILLNER MD PA (NPI# 1760675193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760675193 |
Entity Type | Organization |
Organization Name | MARK S WILLNER MD PA |
Practice Address |
14201 W Sunrise Blvd Suite 208 Sunrise FL 33323-3207 |
Mailing Address |
3820 Windmill Lakes Rd Weston FL 33332-2107 |
Practice Telephone | 9548519690 |
Practice Fax Number | 9548519688 |
Mailing Telephone | 9548519690 |
Mailing Fax Number | 9548519688 |
Enumeration Date | 2007-08-20 |
Last Update Date | 2010-06-24 |
Authorized Official Name | MARK S. WILLNER (PRESIDENT) |
Authorized Official Telephone | 9548519690 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
Street Address |
14201 W SUNRISE BLVD SUITE 208 |
City | SUNRISE |
State | FL |
Zip Code | 33323-3207 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316993215 | Ruth Milstein | Nurse Practitioner | 14201 W Sunrise Blvd, Suite 208, Sunrise, FL 33323-3207 | 2006-05-25 |
1750812251 | Laura Coldea | Occupational Therapy Assistant | 14201 W Sunrise Blvd, 107, Sunrise, FL 33323-3207 | 2017-03-26 |
1649719907 | Shandrea Lawrence | Behavioral Analyst | 14201 W Sunrise Blvd, Suite 208, Sunrise, FL 33323-3207 | 2017-02-20 |
1518400936 | Optimum Behavioral Services, LLC | Behavioral Analyst | 14201 W Sunrise Blvd, Suite 208, Sunrise, FL 33323-3207 | 2016-12-02 |
1285176933 | Beverley Powell | Nurse Practitioner | 14201 W Sunrise Blvd, Suite 208, Sunrise, FL 33323-3207 | 2016-11-12 |
1235685355 | Dayna Leibman | Specialist/Technologist | 14201 W Sunrise Blvd, #107, Sunrise, FL 33323-3207 | 2016-08-29 |
1184073074 | Tiffany Ann Dominguez | Specialist/Technologist | 14201 W Sunrise Blvd, Suite 107, Sunrise, FL 33323-3207 | 2016-06-10 |
1548624125 | Recreational Therapeutic Services Corp | Specialist | 14201 W Sunrise Blvd, Suite 208, Sunrise, FL 33323-3207 | 2016-04-08 |
1588027759 | Keith Jones Arnp LLC | Nurse Practitioner | 14201 W Sunrise Blvd, Sunrise, FL 33323-3207 | 2016-04-04 |
1407215155 | Jillian Goodman | Specialist/Technologist | 14201 W Sunrise Blvd, 204, Sunrise, FL 33323-3207 | 2016-02-22 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427605088 | Global Wellness LLC | Clinical Neuropsychologist | 1560 Sawgrass Corporate Parkway #447, Sunrise, FL 33323 | 2019-08-19 |
1740785062 | Rodolfo Walse Asis Jr. | Physical Medicine & Rehabilitation | 1580 Sawgrass Corporate Parkway, Suite 200, Sunrise, FL 33323 | 2018-03-28 |
1558890913 | Juliana Andrea Duque | Technician, Health Information | 11301 Nw 29th Street, Sunrise, FL 33323 | 2017-06-08 |
1487183026 | Alejandra Lamardo | Specialist/Technologist | 3634 Nw 122nd Ter, Sunrise, FL 33323 | 2017-06-07 |
1831630623 | Kayode David Ojetola | Physical Therapist | 1580 Sawgrass Corporate Parkway, Sunrise, FL 33323 | 2017-03-14 |
1467990770 | Gerardo Pre Dinglasan Jr. | Physical Therapist | 1580 Sawgrass Corporate Parkway Suite 200, Parkway Suite 200, Sunrise, FL 33323 | 2017-02-07 |
1184161630 | Praveen Mishra | Physical Therapist | 1580 Sawgrass Corp Parkway, Suite 200, Sunrise, FL 33323 | 2017-01-23 |
1770029183 | Corahealinghands Psychiatric Services Inc | Nurse Practitioner | 14421 West Sunrise Boulevard Suite, 208, Sunrise, FL 33323 | 2017-01-09 |
1558718916 | Shirley Freckleton-williams | Nurse Practitioner | 13110 Nw 11th Drive, Sunrise, FL 33323 | 2016-05-16 |
1376927525 | Tai Lyn Auras | Nurse Practitioner | 14050 Nw 14th Street, Suite 190, Fort Lauderdale, FL 33323 | 2015-07-17 |
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Taxonomy Code | 2084P0800X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Psychiatry |
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
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1285907329 | Amity Clinic LLC | Psychiatry & Neurology | 1060 Sunset Strip, Sunrise, FL 33313-6106 | 2012-02-21 |
1730371337 | Jules G Molina | Psychiatry & Neurology | 9800 West Commercial Blvd # PC-231, Sunrise, FL 33351 | 2007-08-16 |
1437258035 | Sayonara J Baez | Psychiatry & Neurology | 1411 Sawgrass Corporate Pkwy Ste 10-b, Sunrise, FL 33323-2888 | 2006-09-21 |
1174518187 | Narendra H Patel | Psychiatry & Neurology | 12651 W Sunrise Blvd Ste 101, Sunrise, FL 33323-0906 | 2005-09-15 |
1790088722 | Leonard S Lebow Md Pa | Psychiatry & Neurology | 7800 W Oakland Park Blvd, Suite 211, Sunrise, FL 33351-6757 | 2010-12-14 |
1801957188 | Psychiatric Consulting and Counseling Inc | Psychiatry & Neurology | 12651 W Sunrise Blvd Ste 101, Sunrise, FL 33323-0906 | 2006-12-12 |
1477651255 | Leonard S Lebow | Psychiatry & Neurology | 7800 W Oakland Park Blvd, Suite 211, Sunrise, FL 33351-6757 | 2006-09-20 |
1831115674 | Mark Steven Willner | Psychiatry & Neurology | 14201 W Sunrise Blvd, Suite 208, Sunrise, FL 33323-3207 | 2006-07-14 |
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1548882970 | Thrive Recovery Inc | Psychiatry & Neurology | 5210 S University Dr Ste 105, Davie, FL 33328-5315 | 2020-05-07 |
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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.