Kareem Edwards, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY9183 Issued in FL

Practice address

2455 Hollywood Blvd Ste 208
Hollywood, FL 33020

Phone

(954) 453-1101

Fax

(954) 453-1102

NPI assigned

Aug 25, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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

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 and National Provider Directory roles.

• Neurohealth Professionals of Florida LLC

  • Psychologist
  • Hollywood, FL
  • NPI 1821502071
  Medicare reassignment Authorized official
• Mental Restorations LLC

  • Clinical Psychologist
  • Palm Bay, FL
  • NPI 1225904501
  Medicare reassignment NPD

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

{
    "created_epoch": "1440460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532822400000",
    "number": "1144697145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2455 HOLLYWOOD BLVD STE 208",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330206605",
            "telephone_number": "954-453-1101",
            "fax_number": "954-453-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2455 HOLLYWOOD BLVD STE 208",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "33020",
            "telephone_number": "954-453-1101",
            "fax_number": "954-453-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "KAREEM",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-25",
        "last_updated": "2018-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY9183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edmt Corporation
• Margaret Ozioma Edokpayi, NP
• Luisa Julynette Edwards Marzan, M.D.
• Courtney Michelle Edwards, MD
• D'Anna-Marie Ashley Angelique Edwards, M.D.
• Monique S. Edwards, MSW
• Andrew Thomas Eells
• Melanie Jean Egan
• Marcelo Egea, MD
• Hadijah Vanada Eggleton, L.AC.

• Clinical Psychologist in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.