Active NPI
Maureen Christina Kenny Winick, PHD
- Clinical Psychologist
- Cooper City, FL
National Provider Identifier
1104997899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY0005298
- Practice address
- 10000 Stirling Rd
Suite 6
Cooper City, FL 33024 - Phone
- (954) 830-0976
- Fax
- (954) 433-0603
- NPI assigned
- Nov 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY0005298 | FL | Primary |
Addresses
Primary practice location
10000 Stirling Rd
Suite 6
Cooper City, FL 33024
Mailing address
10400 Griffin Road
Suite 1
Cooper City, FL 33328
Phone (954) 830-0976
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY0005298 | FL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1356480000000",
"number": "1104997899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10400 GRIFFIN ROAD",
"address_2": "SUITE 1",
"city": "COOPER CITY",
"state": "FL",
"postal_code": "33328",
"telephone_number": "954-830-0976",
"fax_number": "954-433-0603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10000 STIRLING RD",
"address_2": "SUITE 6",
"city": "COOPER CITY",
"state": "FL",
"postal_code": "33024",
"telephone_number": "954-830-0976",
"fax_number": "954-433-0603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNY WINICK",
"first_name": "MAUREEN",
"middle_name": "CHRISTINA",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-13",
"last_updated": "2012-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY0005298",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cooper City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.