Individual provider Active NPI

Irina Kerzhnerman, PH.D.

  • Clinical Psychologist
  • Boca Raton, FL
National Provider Identifier
1225089246
Registry record updated Aug 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY6941 Issued in FL
Practice address
2200 NW Corporate Blvd Ste 304
Boca Raton, FL 33431-7307
Phone
(561) 203-3823
NPI assigned
May 15, 2006
Last updated
Aug 13, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY6941 FL Primary

Addresses

Primary practice location

2200 NW Corporate Blvd Ste 304
Boca Raton, FL 33431-7307

Mailing address

2200 NW Corporate Blvd Ste 304
Boca Raton, FL 33431-7307
Phone (561) 203-3823

Other practice location 1

1265 S Military Trl
Suite 110
Deerfield Beach, FL 33442-7688
Phone (954) 692-3570

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
I20050808000779 FL Practitioner - Clinical Psychologist 6709815962 Reassigns benefits to 1 organization
Practice locations: Boca Raton, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2200 NW Corporate Blvd
Suite 304
Boca Raton, FL 33431-7307
Phone (561) 203-3823

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY6941FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Irina Kerzhnerman, PA Clinical CurrentSince Aug 15, 2025 Accepting new patients
Cotler Healthcare & Development Inc. Clinical Past Accepting new patients

Locations

2200 NW Corporate Blvd
Ste 304
Boca Raton, FL 33431
Phone (561) 203-3823

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565654400000",
    "number": "1225089246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 NW CORPORATE BLVD STE 304",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334317307",
            "telephone_number": "561-203-3823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 NW CORPORATE BLVD STE 304",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334317307",
            "telephone_number": "561-203-3823"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1265 S Military Trl",
            "address_2": "Suite 110",
            "address_purpose": "LOCATION",
            "city": "Deerfield Beach",
            "state": "FL",
            "postal_code": "334427688",
            "country_code": "US",
            "telephone_number": "954-692-3570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KERZHNERMAN",
        "first_name": "IRINA",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-15",
        "last_updated": "2019-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PSY6941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.