Organization Active NPI

Elisabeth Ann Soifer PSYD LLC

  • Clinical Psychologist
  • Plantation, FL
National Provider Identifier
1245470996
Registry record updated Feb 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY4870 Issued in FL
Legal business name
ELISABETH ANN SOIFER PSYD LLC
Practice address
300 S Pine Island Rd
Suite 241
Plantation, FL 33324-2673
Phone
(954) 577-0913
Fax
(954) 577-0918
NPI assigned
Feb 20, 2009
Last updated
Feb 20, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2009

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

Authorized official

Name
Elisabeth Ann Soifer, PSYD
Title
President
Phone
(954) 577-0913

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PY4870 FL Primary

Addresses

Primary practice location

300 S Pine Island Rd
Suite 241
Plantation, FL 33324-2673

Mailing address

300 S Pine Island Rd
Suite 241
Plantation, FL 33324-2673
Phone (954) 577-0913

National Provider Directory

National Provider Directory

Locations

300 S Pine Island Rd
Ste 241
Plantation, FL 33324
Phone (954) 577-0913

NPI Registry JSON

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

{
    "created_epoch": "1235088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235088000000",
    "number": "1245470996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S PINE ISLAND RD",
            "address_2": "SUITE 241",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242673",
            "telephone_number": "954-577-0913",
            "fax_number": "954-577-0918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S PINE ISLAND RD",
            "address_2": "SUITE 241",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242673",
            "telephone_number": "954-577-0913",
            "fax_number": "954-577-0918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELISABETH ANN SOIFER PSYD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-20",
        "last_updated": "2009-02-20",
        "status": "A",
        "authorized_official_last_name": "SOIFER",
        "authorized_official_first_name": "ELISABETH ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-577-0913",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY4870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.