Individual provider Active NPI

Sheri Zatz, PH.D

  • Psychologist
  • Coral Springs, FL
National Provider Identifier
1184669509
Registry record updated Oct 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY0003629 Issued in FL
Practice address
11760 W Sample Rd
Suite 101
Coral Springs, FL 33065-3199
Phone
(954) 345-5644
Fax
(954) 345-5683
NPI assigned
Jun 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY0003629 FL Primary

Addresses

Primary practice location

11760 W Sample Rd
Suite 101
Coral Springs, FL 33065-3199

Mailing address

11760 W Sample Rd
Suite 101
Coral Springs, FL 33065-3199
Phone (954) 345-5644

Other identifiers 2

IdentifierTypeStateIssuer
73214XOtherFLMEDICARE ID
73214OtherFLBCBS OF FLORIDA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20231107002486 FL Practitioner - Clinical Psychologist 1052373206 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Center for Psychological Wellness IncGroup PAC ID 1951362870, 7 clinicians

Practice addresses (Care Compare)

Parkland, FL 33076
Phone (954) 345-5644

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY0003629FLMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Joel I Kimmel PHD PA Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255564800000",
    "number": "1184669509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11760 W SAMPLE RD",
            "address_2": "SUITE 101",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330653199",
            "telephone_number": "954-345-5644",
            "fax_number": "954-345-5683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11760 W SAMPLE RD",
            "address_2": "SUITE 101",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330653199",
            "telephone_number": "954-345-5644",
            "fax_number": "954-345-5683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZATZ",
        "first_name": "SHERI",
        "name_prefix": "Mrs.",
        "credential": "PH.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-19",
        "last_updated": "2009-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY0003629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "73214X",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA",
            "identifier": "73214",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.