DR. LISA WASSERMAN (NPI# 1902969660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902969660 |
| Entity Type | Individual |
| Full Name | DR. LISA WASSERMAN |
| Credential | PSY.D., ATR-BC |
| Practice Address |
3501 Johnson St Hollywood FL 33021-5421 |
| Mailing Address |
14811 Archerhall St Davie FL 33331-2955 |
| Practice Telephone | 9549855809 |
| Enumeration Date | 2006-12-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 221700000X | Art Therapist | 96-180 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245511203 | Lisa Gail Wasserman | Pharmacist | 6270 Som Center Rd, Solon, OH 44139-2913 | 2011-09-05 |
| 1548222482 | Lisa Ruth Wasserman | Orthopaedic Surgery | 3931 Louisiana Ave S, Suite 400e, St Louis Park, MN 55426-5000 | 2006-04-05 |
| Street Address |
3501 JOHNSON ST |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33021-5421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124021274 | Trevor Swerdlow | Radiology | 3501 Johnson St, Hollywood, FL 33021-5421 | 2005-05-23 |
| 1619575784 | Shaquira Wells | Nurse Practitioner | 3501 Johnson St, Hollywood, FL 33021-5421 | 2020-10-12 |
| 1013521897 | Coeurlande Carry | Nurse Practitioner | 3501 Johnson St, Hollywood, FL 33021-5421 | 2020-08-31 |
| 1386255420 | Bernandes Jean-louis | Nurse Practitioner | 3501 Johnson St, Hollywood, FL 33021-5421 | 2020-08-12 |
| 1770194136 | Rock J Saint Louis | Nurse Practitioner | 3501 Johnson St, Hollywood, FL 33021-5421 | 2020-08-11 |
| 1851916282 | Porsha St Pierre | Nurse Practitioner | 3501 Johnson St, Hollywood, FL 33021-5421 | 2020-06-11 |
| 1770105918 | Robert Woods | Pharmacist | 3501 Johnson St, Inpatient Pharmacy, Hollywood, FL 33021-5421 | 2020-05-11 |
| 1114548013 | Kelsey Taylor | Registered Nurse | 3501 Johnson St, Hollywood, FL 33021-5421 | 2020-05-01 |
| 1588285464 | Aaron Alexander North | Pharmacist | 3501 Johnson St, Hollywood, FL 33021-5421 | 2020-05-01 |
| 1932728714 | Patricia L. Altamirano | Nurse Practitioner | 3501 Johnson St, Hollywood, FL 33021-5421 | 2020-04-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548893894 | Seminole Tribe of Florida Health Department | Pharmacy | 111 W. Coral Way, Hollywood, FL 33021 | 2020-02-14 |
| 1437714086 | Emilia Roxana Gucciardo | Physician Assistant | 4510 Sheridan Street, Attn: William Pepe, Hollywood, FL 33021 | 2019-05-08 |
| 1649763673 | Sabrina Shoba Mathura | Behavior Technician | 4400 Madison St, Hollywood, FL 33021 | 2018-06-13 |
| 1558850149 | South Broward Hospital District | Pediatrics | 105 Joe Dimaggio Dr, Pediatric Heart Station, Hollywood, FL 33021 | 2018-05-09 |
| 1942798368 | Kyndra Monique Liburd | Student in an Organized Health Care Education/Training Program | Attn: Pediatric Residency Program, 1005 Joe Dimaggio Drive, Hollywood, FL 33021 | 2018-05-01 |
| 1992292106 | Madeleine Mariela Reyes | Nurse Practitioner | 5010 Hollywood Boulevard #100-b, Hollywood, FL 33021 | 2018-04-13 |
| 1487168233 | Gynecologic Oncology & Urogynecology | Obstetrics & Gynecology | 1150 N 35th Ave Ste 670, Hollywood, FL 33021 | 2017-11-30 |
| 1245743012 | Healix Healthcare Services, LLC | Obstetrics & Gynecology | 3990 Sheridan St Ste 207, Hollywood, FL 33021 | 2017-11-14 |
| 1093233587 | Benjamin Laborde | Physical Therapy Assistant | 4200 Washington Street, Hollywood, FL 33021 | 2017-09-05 |
| 1477079358 | Tt Trans, LLC | Non-emergency Medical Transport (VAN) | 3550 Washington Street, 502, Hollywood, FL 33021 | 2017-08-22 |
| Find all providers in zip 33021 | ||||
| Taxonomy Code | 221700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Art Therapist |
| (1) An individual who uses art to achieve the therapeutic goals of symptom relief, emotional integration, and recovery from or adjustment to illness or disability. (2) An art therapist uses a form of treatment that enables patients with mental or physical disabilities to use art as a way of expressing and dealing with feelings and inner conflicts. (3) An individual who uses arts modalities and creative processes during intentional intervention in therapeutic, rehabilitative, community, or educational settings to foster health, communication, and expression; promote the integration of physical, emotional, cognitive, and social functioning; enhance self-awareness; and facilitate change. |
| Notes: Source: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 107. (2) Art Therapy Program, Marymount College, Tarrytown, NY (3) National Coalition of Arts |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588171516 | Virginia A Erdie | Art Therapist | 2035 Dewey St # 2, Hollywood, FL 33020-6923 | 2017-12-29 |
| 1336680073 | The Caring Couch, LLC | Art Therapist | 2525 Embassy Dr, Ste. 10, Hollywood, FL 33026-4573 | 2017-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619367075 | Linda Maniscalco | Art Therapist | 3600 N Ocean Dr Apt 226, Riviera Beach, FL 33404-3258 | 2015-01-23 |
| 1629489240 | Cara Levitt | Art Therapist | 200 S Washington Blvd, Suite 4a, Sarasota, FL 34236-6904 | 2014-05-16 |
| 1841601457 | Amanda Alders Pike | Art Therapist | 3339 Virginia St Apt 127, Miami, FL 33133-6028 | 2014-05-16 |
| 1255964011 | Natalia Betancourt | Art Therapist | 27331 S Dixie Hwy, Homestead, FL 33032-8233 | 2020-02-19 |
| 1568007334 | Megan Miller | Art Therapist | 4020 Lake Worth Rd, Palm Springs, FL 33461-3918 | 2019-11-15 |
| 1922655406 | Jessica Nicole Matos | Art Therapist | 3400 Hunters Creek Blvd, Orlando, FL 32837-7230 | 2019-08-20 |
| 1255896643 | Jenny Esther Leon | Art Therapist | 2700 Westhall Ln Ste 207, Maitland, FL 32751-7478 | 2019-02-10 |
| 1932672136 | Heather Spooner | Art Therapist | 1601 Sw Archer Rd, Gainesville, FL 32608-1135 | 2019-01-10 |
| 1730658402 | Sarah Anne Beaman | Art Therapist | 4282 Herschel St, Jacksonville, FL 32210-2247 | 2018-11-25 |
| 1124513106 | Kelly Elizabeth Desousa | Art Therapist | 4282 Herschel St, Jacksonville, FL 32210-2247 | 2018-06-22 |
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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.