SUSAN WIDMAYER (NPI# 1912120387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912120387 |
| Entity Type | Individual |
| Full Name | SUSAN WIDMAYER |
| Practice Address |
1401 S Federal Hwy Fort Lauderdale FL 33316-2619 |
| Practice Telephone | 9547281055 |
| Practice Fax Number | 9547792316 |
| Mailing Telephone | 9547281055 |
| Mailing Fax Number | 9547792316 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 002691 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174902266 | Susan Widmayer | Physical Therapist | 1455 Montreal Rd, Tucker, GA 30084-8100 | 2015-05-22 |
| 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 | 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 |
| 1750565925 | Professionals Trust Inc. | Psychologist | 2650 W State Road 84, L03, Fort Lauderdale, FL 33312-4882 | 2007-12-24 |
| 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 |
| Find all providers in FORT LAUDERDALE | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33316 |
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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.