Organization Active NPI

Sarajo Bunny Falk Psy.D PA

  • Clinical Psychologist
  • Lauderhill, FL
National Provider Identifier
1063506145
Registry record updated Nov 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY5737 Issued in FL
Legal business name
SARAJO BUNNY FALK PSY.D PA
Practice address
3410 Rose Hill Way
Lauderhill, FL 33319-5130
Phone
(954) 731-0690
Fax
(954) 344-4512
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2010

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

Authorized official

Name
Dr. S.Bunny Falk, PSY.D
Title
President
Phone
(954) 731-0690

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PY5737 FL Primary

Addresses

Primary practice location

3410 Rose Hill Way
Lauderhill, FL 33319-5130

Mailing address

PO Box 934068
Margate, FL 33093-4068
Phone (954) 366-2700

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288656000000",
    "number": "1063506145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 934068",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330934068",
            "telephone_number": "954-366-2700",
            "fax_number": "954-366-2056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 ROSE HILL WAY",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333195130",
            "telephone_number": "954-731-0690",
            "fax_number": "954-344-4512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARAJO BUNNY FALK PSY.D PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2010-11-02",
        "status": "A",
        "authorized_official_last_name": "FALK",
        "authorized_official_first_name": "S.BUNNY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-731-0690",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY5737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderhill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; 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.