Organization Active NPI

Healing Hooves Psychotherapy, Inc.

  • Marriage & Family Therapist
  • Southwest Ranches, FL
National Provider Identifier
1043737570
Registry record updated Apr 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
HEALING HOOVES PSYCHOTHERAPY, INC.
Practice address
6201 SW 180TH Ter
Southwest Ranches, FL 33331-1611
Phone
(954) 907-6862
Fax
(954) 907-6862
NPI assigned
Aug 25, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2020

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

Authorized official

Name
Ms. Sarah Lynn Chamberlin, LMFTNPI 1760800049
Title
Executive Director
Phone
(954) 907-6862

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X MT3092 FL
Adolescent and Children Mental Health Clinic/Center 261QM0855X MT3092 FL

Addresses

Primary practice location

6201 SW 180TH Ter
Southwest Ranches, FL 33331-1611

Mailing address

3901 Shady Ridge Rd
Fort Lauderdale, FL 33312-6205
Phone (954) 907-6862

Other practice location 1

3901 Shady Ridge Rd
Fort Lauderdale, FL 33312-6205
Phone (954) 907-6862

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1503619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587427200000",
    "number": "1043737570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 SHADY RIDGE RD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333126205",
            "telephone_number": "954-907-6862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 SW 180TH TER",
            "city": "SOUTHWEST RANCHES",
            "state": "FL",
            "postal_code": "333311611",
            "telephone_number": "954-907-6862",
            "fax_number": "954-907-6862"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3901 Shady Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333126205",
            "country_code": "US",
            "telephone_number": "954-907-6862",
            "fax_number": "954-416-7880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEALING HOOVES PSYCHOTHERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-25",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A",
        "authorized_official_last_name": "CHAMBERLIN",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "954-907-6862",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "FL",
            "license": "MT3092",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "FL",
            "license": "MT3092",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southwest Ranches, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2020; 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.