Active NPI
Robert D Assael, PHD
- Clinical Psychologist
- Fort Lauderdale, FL
National Provider Identifier
1215042502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY0004585
- Practice address
- 6750 N Andrews Ave
Suite 200 - Cypress Park West
Fort Lauderdale, FL 33309-2173 - Phone
- (954) 979-8501
- Fax
- (954) 979-8502
- NPI assigned
- Aug 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | PY0004585 | FL | Primary |
Addresses
Primary practice location
6750 N Andrews Ave
Suite 200 - Cypress Park West
Fort Lauderdale, FL 33309-2173
Mailing address
1132 W Cypress Dr
V-17
Pompano Beach, FL 33069-4107
Phone (954) 979-8501
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY0004585 | FL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350691200000",
"number": "1215042502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1132 W CYPRESS DR",
"address_2": "V-17",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330694107",
"telephone_number": "954-979-8501",
"fax_number": "954-979-8502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6750 N ANDREWS AVE",
"address_2": "SUITE 200 - CYPRESS PARK WEST",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333092173",
"telephone_number": "954-979-8501",
"fax_number": "954-979-8502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASSAEL",
"first_name": "ROBERT",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-20",
"last_updated": "2012-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY0004585",
"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 Oct 20, 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.