NPIMap

Organization Active NPI

Psyamms Inc

  • Psychologist
  • Coral Springs, FL
National Provider Identifier
1255765384
Registry record updated Dec 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY 8758 Issued in FL
Legal business name
PSYAMMS INC
Practice address
11555 Heron Bay Blvd
Suite 200
Coral Springs, FL 33076-3360
Phone
(954) 881-9744
NPI assigned
Aug 26, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2016

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

Authorized official

Name
Alaina L Fierstat, PSY.D.
Title
President
Phone
(954) 881-9744

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PY 8758 FL Primary

Addresses

Primary practice location

11555 Heron Bay Blvd
Suite 200
Coral Springs, FL 33076-3360

Mailing address

11555 Heron Bay Blvd
Suite 200
Coral Springs, FL 33076-3360
Phone (954) 881-9744

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131219001037 FL Part B Supplier - Clinic/Group Practice 9830326834 Practice locations: Coral Springs, FL

National Provider Directory

National Provider Directory

Locations

7401 Wiles Rd
Ste 244
Coral Springs, FL 33067

1200 N 35th Ave
Hollywood, FL 33021
Phone (954) 981-0426

NPI Registry JSON

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

{
    "created_epoch": "1377475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481068800000",
    "number": "1255765384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11555 HERON BAY BLVD",
            "address_2": "SUITE 200",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330763360",
            "telephone_number": "954-881-9744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11555 HERON BAY BLVD",
            "address_2": "SUITE 200",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330763360",
            "telephone_number": "954-881-9744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYAMMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-26",
        "last_updated": "2016-12-07",
        "status": "A",
        "authorized_official_last_name": "FIERSTAT",
        "authorized_official_first_name": "ALAINA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-881-9744",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY 8758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.