Eric Y Reznik, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY8220 Issued in FL

Practice address

212 NE 1St Ave
Hallandale Beach, FL 33009-4230

Phone

(305) 989-8050

Fax

(954) 367-6261

NPI assigned

May 4, 2009

Last updated

Dec 14, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Bewell Rehabilitation and Counseling Group Inc

  • Community/Behavioral Health Agency
  • Hallandale Beach, FL
  • NPI 1154602068
  Medicare reassignment
• Maya Physical Therapy, Inc

  • Physical Therapist
  • Davie, FL
  • NPI 1962717868
  NPD (past)

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

{
    "created_epoch": "1241395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355443200000",
    "number": "1144454323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1087 SCARLET OAK ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330194810",
            "telephone_number": "305-989-8050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 NE 1ST AVE",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094230",
            "telephone_number": "305-989-8050",
            "fax_number": "954-367-6261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REZNIK",
        "first_name": "ERIC",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-04",
        "last_updated": "2012-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY8220",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "FL",
            "license": "PY8220",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "FL",
            "license": "PY8220",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "FL",
            "license": "PY8220",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renew Vein Centers, PLLC
• Sandra Patricia Restrepo
• Grace Maher Reynolds, M.D.
• Nancy M Reynoso
• Niloufar Rezakhani, DMD
• Rheumatology & Wellness Holding, PLLC (SWCA Rheumatology)
• Rachelle Rhodes, PT, DPT, ATC
• Laverne Richard
• Alan Jeffrey Richter, D.M.D.
• Richard J Rimler, DPM

• Clinical Psychologist in Hallandale Beach, FL
• Providers in Hallandale Beach, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.