Individual provider Active NPI

Dennis A. Day, PH.D.

  • Psychologist
  • Fort Lauderdale, FL
National Provider Identifier
1073591178
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY2139 Issued in FL
Practice address
6245 North Federal Highway
Suite 423
Fort Lauderdale, FL 33308-1998
Phone
(954) 776-7992
Fax
(954) 776-6850
NPI assigned
Jan 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY2139 FL
Psychologist 103T00000X PY2139 FL Primary

Addresses

Primary practice location

6245 North Federal Highway
Suite 423
Fort Lauderdale, FL 33308-1998

Mailing address

4831 N. E. 26TH Avenue
Fort Lauderdale, FL 33308-4816
Phone (954) 776-7992

Other identifiers 2

IdentifierTypeStateIssuer
112053100MedicaidFL
111110 00E87MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110519000716 FL Practitioner - Clinical Psychologist 5395921704 Practice locations: Fort Lauderdale, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6245 N Federal Hwy
Suite 423
Fort Lauderdale, FL 33308-1998
Phone (954) 776-7992

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY2139FLMDClinical Psychologist

Networks

  • Freedom Health HMO Network

NPI Registry JSON

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1073591178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4831 N. E. 26TH AVENUE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084816",
            "telephone_number": "954-776-7992",
            "fax_number": "954-776-6850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6245 NORTH FEDERAL HIGHWAY",
            "address_2": "SUITE 423",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333081998",
            "telephone_number": "954-776-7992",
            "fax_number": "954-776-6850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAY",
        "first_name": "DENNIS",
        "middle_name": "A.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-09",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY2139",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY2139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112053100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111110 00E87",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.