Organization Active NPI

Michael Gans PA

  • Clinical Social Worker
  • Wilton Manors, FL
National Provider Identifier
1255957346
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MICHAEL GANS PA
Practice address
2312 Wilton Drive
20
Wilton Manors, FL 33305-1249
Phone
(561) 578-9348
Fax
(866) 757-5778
NPI assigned
Jun 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Authorized official

Name
Moses Gans, LCSW
Title
Owner/Member
Phone
(561) 578-9348

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

2312 Wilton Drive
20
Wilton Manors, FL 33305-1249

Mailing address

520 NE 20TH Street
615
Wilton Manors, FL 33305-2155
Phone (561) 578-9348

Other names 1

  • MMG Psychotherapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200819002306 FL Part B Supplier - Clinic/Group Practice 5890111934 Receives reassigned benefits from 1 practitioner
Practice locations: Wilton Manors, FL

National Provider Directory

National Provider Directory

Locations

2312 Wilton Dr
Ste 20
Wilton Manors, FL 33305

2312 Wilton Dr
#20
Wilton Manors, FL 33305

2312 Wilton Dr
#35
Wilton Manors, FL 33305
Phone (561) 578-9348

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783555200000",
    "number": "1255957346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 NE 20TH STREET",
            "address_2": "615",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333052155",
            "telephone_number": "561-578-9348",
            "fax_number": "866-757-5778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2312 WILTON DRIVE",
            "address_2": "20",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333051249",
            "telephone_number": "561-578-9348",
            "fax_number": "866-757-5778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL GANS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-24",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A",
        "authorized_official_last_name": "GANS",
        "authorized_official_first_name": "MOSES",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "561-578-9348",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MMG Psychotherapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilton Manors, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; 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.