Organization · Type 2 NPI

South Broward Hospital District

Psychologist · Hollywood, FL

NPI number 1013471614 Active

Practice location

1150 N 35th Ave Ste 525
Hollywood, FL 33021-5431

Call (954) 265-6966 Map

Fax (954) 265-6950

Mailing address

2900 Corporate Way, Door D
Miramar, FL 33025-3925

Specialties and licenses

Taxonomy	Code	License
Psychologist Primary	103T00000X	None listed

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 adjustmen…

7 other providers at this address

Other psychologist providers in Hollywood

See all in Hollywood →

NPI record

NPI: 1013471614
Entity type: Organization (Type 2)
Issued: Jan 28, 2019
Last updated: Jan 28, 2019
Status: Active
Subpart: Yes of South Broward Hospital District

Other names

Memorial Division of Pediatric Psychology Services · doing business as

Authorized official

Nina Beauchesne
Executive Vice President
(954) 265-3451

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1013471614

South Broward Hospital District's National Provider Identifier is 1013471614, issued on Jan 28, 2019. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Hollywood, FL. The record was last updated on Jan 28, 2019.