Individual provider Active NPI

Michelle Renee Hintz, PSYD, MT-BC

  • Clinical Child & Adolescent Psychologist
  • Hollywood, FL
National Provider Identifier
1093835761
Registry record updated May 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
PY7496 Issued in FL
Practice address
450 N Park Rd
Suite 400
Hollywood, FL 33021-6917
Phone
(954) 925-3191
Fax
(954) 925-3193
NPI assigned
Mar 29, 2007
Last updated
May 27, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X PY7496 FL Primary

Addresses

Primary practice location

450 N Park Rd
Suite 400
Hollywood, FL 33021-6917

Mailing address

450 N Park Rd
Suite 400
Hollywood, FL 33021-6917
Phone (954) 925-3191

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PY7496FLMDClinical Child & Adolescent Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cadenza Center for Psychotherapy & the Arts, Inc. Current Accepting new patients

Locations

450 N Park Rd
Ste 400
Hollywood, FL 33021
Phone (954) 925-3191

Interoperability endpoints

  • Direct secure messaging: cadenzacenterforpsychotherapyandthearts.michellerhintz@129065.advancedmd-direct.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401148800000",
    "number": "1093835761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 N PARK RD",
            "address_2": "SUITE 400",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216917",
            "telephone_number": "954-925-3191",
            "fax_number": "954-925-3193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 N PARK RD",
            "address_2": "SUITE 400",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216917",
            "telephone_number": "954-925-3191",
            "fax_number": "954-925-3193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINTZ",
        "first_name": "MICHELLE",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "PSYD, MT-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2014-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "FL",
            "license": "PY7496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2014; 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.