Organization Active NPI

Kathryn Doll LLC

  • Community/Behavioral Health Agency
  • Coral Springs, FL
National Provider Identifier
1093256935
Registry record updated Oct 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
SW 14042 Issued in FL
Legal business name
KATHRYN DOLL LLC
Practice address
9900 W Sample Rd Ste 309
Coral Springs, FL 33065-4048
Phone
(954) 260-8667
NPI assigned
Mar 11, 2017
Last updated
Oct 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2018

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

Authorized official

Name
Kathryn Doll, LCSWNPI 1215474499
Title
Owner/Manager
Phone
(954) 260-8667

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X SW 14042 FL Primary

Addresses

Primary practice location

9900 W Sample Rd Ste 309
Coral Springs, FL 33065-4048

Mailing address

8500 NW 79TH St
Tamarac, FL 33321-1659
Phone (954) 260-8667

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170920001531 FL Part B Supplier - Clinic/Group Practice 6901170570 Receives reassigned benefits from 1 practitioner
Practice locations: Coral Springs, FL

National Provider Directory

National Provider Directory

Locations

9900 W Sample Rd
Ste 104
Coral Springs, FL 33065
Phone (754) 229-9662

9900 W Sample Rd
Ste 309
Coral Springs, FL 33065
Phone (954) 260-8667

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1489190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539734400000",
    "number": "1093256935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 NW 79TH ST",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333211659",
            "telephone_number": "954-260-8667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 W SAMPLE RD STE 309",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654048",
            "telephone_number": "954-260-8667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHRYN DOLL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-11",
        "last_updated": "2018-10-17",
        "status": "A",
        "authorized_official_last_name": "DOLL",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "954-260-8667",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "SW 14042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.