Active NPI
Alexis Resnick, PH.D.
- Clinical Psychologist
- Plantation, FL
National Provider Identifier
1215215843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY 8829
- Practice address
- 300 S Pine Island Rd Ste 226
Plantation, FL 33324-2631 - Phone
- (305) 771-1522
- Fax
- (954) 734-9395
- NPI assigned
- Aug 1, 2011
- Sex
- Female
- 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 | PY 8829 | FL | Primary |
Addresses
Primary practice location
300 S Pine Island Rd Ste 226
Plantation, FL 33324-2631
Mailing address
300 S Pine Island Rd Ste 226
Plantation, FL 33324-2631
Phone (305) 771-1522
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 |
|---|---|---|---|
| PY 8829 | FL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645488000000",
"number": "1215215843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 S PINE ISLAND RD STE 226",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333242631",
"telephone_number": "305-771-1522",
"fax_number": "954-734-9395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 S PINE ISLAND RD STE 226",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333242631",
"telephone_number": "305-771-1522",
"fax_number": "954-734-9395"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RESNICK",
"first_name": "ALEXIS",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-01",
"last_updated": "2022-02-22",
"certification_date": "2022-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY 8829",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.