DR. CHRISTIN ILIANA BERMUDEZ (NPI# 1922269554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922269554 |
Entity Type | Individual |
Full Name | DR. CHRISTIN ILIANA BERMUDEZ |
Credential | PHD |
Practice Address |
1560 Sawgrass Corporate Pkwy Sunrise FL 33323-2858 |
Practice Telephone | 3057072421 |
Mailing Telephone | 3057072421 |
Enumeration Date | 2008-06-17 |
Last Update Date | 2020-04-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103G00000X | Clinical Neuropsychologist | PY9955 | FL | Behavioral Health & Social Service Providers |
Street Address |
1560 SAWGRASS CORPORATE PKWY |
City | SUNRISE |
State | FL |
Zip Code | 33323-2858 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215955695 | Laurence L. Dayton | Psychologist | 1560 Sawgrass Corporate Pkwy, 4th Floor, Sunrise, FL 33323-2858 | 2006-07-17 |
1003026485 | David Brian Bass | Chiropractor | 1560 Sawgrass Corporate Pkwy, 4th Floor, Sunrise, FL 33323-2858 | 2007-05-23 |
1134148117 | Professional Associates for Therapy & Testing Services Inc | Psychologist | 1560 Sawgrass Corporate Pkwy, 4th Floor, Sunrise, FL 33323-2858 | 2006-07-19 |
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 |
Find all providers in zip 33323 |
Taxonomy Code | 103G00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Clinical Neuropsychologist |
An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427605088 | Global Wellness LLC | Clinical Neuropsychologist | 1560 Sawgrass Corporate Parkway #447, Sunrise, FL 33323 | 2019-08-19 |
1760560304 | Joan M Digregorio | Clinical Neuropsychologist | 3540 Nw 88th Ave, Sunrise, FL 33351-6637 | 2006-11-01 |
1235781873 | Leslie Michelle Diaz-ortiz | Clinical Neuropsychologist | 8890 W Oakland Park Blvd, Sunrise, FL 33351-7235 | 2019-07-14 |
1861435166 | Niurka Maribel Santana | Clinical Neuropsychologist | 4399 N Nob Hill Rd, Sunrise, FL 33351-5813 | 2006-06-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912512831 | Joshua Rooks, Phd, LLC | Clinical Neuropsychologist | 7328 Jacaranda Ln, Miami Lakes, FL 33014-2670 | 2020-09-09 |
1457978991 | Renew Psychiatric Care, LLC | Clinical Neuropsychologist | 3170 N Federal Hwy Ste 206b, Lighthouse Point, FL 33064-6720 | 2020-07-01 |
1871110460 | Thoughtwise LLC | Clinical Neuropsychologist | 2840 Remington Green Cir Ste 3, Tallahassee, FL 32308-1518 | 2020-06-29 |
1093338451 | Krizia Amy Vinck | Clinical Neuropsychologist | 1150 Nw 14th St, Miami, Fl 33136, Miami, FL 33136 | 2020-05-20 |
1124667795 | Jennifer Ann Barton | Clinical Neuropsychologist | 3411 Day Ave, Miami, FL 33133-5030 | 2019-12-31 |
1952947434 | Dagmar E Nunez | Clinical Neuropsychologist | 1351 Seagrape Cir, Weston, FL 33326-2726 | 2019-11-20 |
1821632779 | Joshua Daniel Rooks | Clinical Neuropsychologist | 6520 Miami Lakeway S, Miami Lakes, FL 33014-2747 | 2019-11-04 |
1528627882 | Anchor Multispecialty Group | Clinical Neuropsychologist | 850 S Palafox St Unit 103, Pensacola, FL 32502-5983 | 2019-06-11 |
1639736473 | Aldrich Chan | Clinical Neuropsychologist | 2601 Sw 37th Ave Ste 703, Coral Gables, FL 33133-2750 | 2019-05-28 |
1629532353 | Veronica A Thornton | Clinical Neuropsychologist | 1573 W Fairbanks Ave Ste 220, Winter Park, FL 32789-4679 | 2019-01-28 |
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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.