E.G. Psychological Services, PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

E.G. PSYCHOLOGICAL SERVICES, PLLC

Practice address

313 NE 2ND St Apt 1105
Fort Lauderdale, FL 33301-1142

Phone

(917) 216-9638

Fax

(833) 478-1421

NPI assigned

Jul 14, 2022

Last updated

Jul 14, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Ester Goldvarg, PH.DNPI 1619397270

Title

Owner

Phone

(917) 216-9638

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ester Goldvarg

  • Clinical Psychologist
  • Brooklyn, NY
  • NPI 1619397270
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1657756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657756800000",
    "number": "1013641042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 NE 2ND ST APT 1105",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333011142",
            "telephone_number": "917-216-9638",
            "fax_number": "833-478-1421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 NE 2ND ST APT 1105",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333011142",
            "telephone_number": "917-216-9638",
            "fax_number": "833-478-1421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E.G. PSYCHOLOGICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-14",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A",
        "authorized_official_last_name": "GOLDVARG",
        "authorized_official_first_name": "ESTER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-216-9638",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.