Organization Active NPI

Transformation Project Inc

  • Psychologist
  • Davie, FL
National Provider Identifier
1073974390
Registry record updated Mar 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY7080 Issued in FL
Legal business name
TRANSFORMATION PROJECT INC
Practice address
4431 SW 64TH Ave
Suite 107
Davie, FL 33314-3458
Phone
(954) 797-7430
NPI assigned
Mar 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2016

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

Authorized official

Name
Marilisa Lawless, LMFTNPI 1760606057
Title
President
Phone
(954) 797-7430

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PY7080 FL Primary

Addresses

Primary practice location

4431 SW 64TH Ave
Suite 107
Davie, FL 33314-3458

Mailing address

4431 SW 64TH Ave
Suite 107
Davie, FL 33314-3458
Phone (954) 797-7430

National Provider Directory

National Provider Directory
Tax ID family
Transformation Project Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4431 SW 64th Ave
Ste 107
Davie, FL 33314
Phone (954) 797-7430

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1457913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457913600000",
    "number": "1073974390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4431 SW 64TH AVE",
            "address_2": "SUITE 107",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333143458",
            "telephone_number": "954-797-7430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4431 SW 64TH AVE",
            "address_2": "SUITE 107",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333143458",
            "telephone_number": "954-797-7430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSFORMATION PROJECT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-14",
        "last_updated": "2016-03-14",
        "status": "A",
        "authorized_official_last_name": "LAWLESS",
        "authorized_official_first_name": "MARILISA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-797-7430",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY7080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2016; 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.