Alexandra Victoria PSYD Inc – Clinical Psychologist

Key facts

NPI: 1265249031
Entity type: Organization (NPI type 2)
Primary specialty: Clinical Psychologist 103TC0700X
Legal business name: ALEXANDRA VICTORIA PSYD INC
Practice address: 2200 N Commerce Pkwy Ste 200
Weston, FL 33326-3258
Phone: (954) 245-4464
NPI assigned: Dec 16, 2024
Organization subpart: No

Authorized official

Name: Dr. Alexandra Victoria, PSYD
Title: Owner
Phone: (954) 245-4464

Practitioners 1

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

Alexandra Victoria, PSY.D. Clinical Psychologist · Weston, FL · NPI 1700509205

Medicare reassignment NPD CLINICAL · FL

Medicare participation

Medicare fee-for-service enrollment: Enrolled in FL

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20250103000079	FL	Part B Supplier - Clinic/Group Practice	6608303680	Receives reassigned benefits from 1 practitioner Practice locations: Weston, FL

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Clinical Psychologist Group: 193400000X SINGLE SPECIALTY GROUP	103TC0700X			Yes

Addresses

Primary practice location

2200 N Commerce Pkwy Ste 200
Weston, FL 33326-3258

Mailing address

222 Lakeside Cir
Sunrise, FL 33326-2172
Phone (954) 245-4464

Other providers in Weston, FL

All providers in Weston, FL · Clinical Psychologist in Florida

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 16, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider 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.