NPIMap

Organization Active NPI

Motivational Institute for Behavioral Health, LLC

  • Clinical Psychologist
  • Fort Lauderdale, FL
National Provider Identifier
1134598162
Registry record updated Sep 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY9326 Issued in FL
Legal business name
MOTIVATIONAL INSTITUTE FOR BEHAVIORAL HEALTH, LLC
Practice address
2425 E Commercial Blvd
Suite 301
Fort Lauderdale, FL 33308-4034
Phone
(954) 606-5088
Fax
(954) 616-5147
NPI assigned
Sep 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2015

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

Authorized official

Name
Dr. Marcy Jaslow, PSY.D.NPI 1003286543
Title
Licensed Psychologist
Phone
(954) 616-5088

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
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PY9326 FL Primary

Addresses

Primary practice location

2425 E Commercial Blvd
Suite 301
Fort Lauderdale, FL 33308-4034

Mailing address

2425 E Commercial Blvd
Suite 301
Fort Lauderdale, FL 33308-4034
Phone (954) 606-5088

National Provider Directory

National Provider Directory
Tax ID family
Community Care Services456 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 14

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 14

Locations

2425 E Commercial Blvd
Ste 301
Ft Lauderdale, FL 33308
Phone (954) 606-5088

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1442793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442793600000",
    "number": "1134598162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 E COMMERCIAL BLVD",
            "address_2": "SUITE 301",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084034",
            "telephone_number": "954-606-5088",
            "fax_number": "954-616-5147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 E COMMERCIAL BLVD",
            "address_2": "SUITE 301",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084034",
            "telephone_number": "954-606-5088",
            "fax_number": "954-616-5147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOTIVATIONAL INSTITUTE FOR BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-21",
        "last_updated": "2015-09-21",
        "status": "A",
        "authorized_official_last_name": "JASLOW",
        "authorized_official_first_name": "MARCY",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "954-616-5088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY9326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2015; 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.