Active NPI
Motivational Institute for Behavioral Health, LLC
- Clinical Psychologist
- Fort Lauderdale, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY7732
- Legal business name
- MOTIVATIONAL INSTITUTE FOR BEHAVIORAL HEALTH, LLC
- Practice address
- 1421 SE 4TH Ave FL 1
Fort Lauderdale, FL 33316-1900 - Phone
- (954) 616-5088
- Fax
- (954) 616-5147
- NPI assigned
- Sep 9, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lori Lenay Eickleberry, PH.D.
- Title
- Licensed Psychologist
- Phone
- (954) 315-1774
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY7732 | FL | Primary |
Addresses
Primary practice location
1421 SE 4TH Ave FL 1
Fort Lauderdale, FL 33316-1900
Mailing address
1421 SE 4TH Ave FL 1
Fort Lauderdale, FL 33316-1900
Phone (954) 616-5088
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2881 E Oakland Park Blvd
Ste 313
Fort Lauderdale, FL 33306
Phone (954) 315-1774
1421 SE 4th Ave
Fl 1
Fort Lauderdale, FL 33316
Phone (954) 616-5088
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Psychologist
- Fort Lauderdale, FL
- NPI 1669632931
-
- Marriage & Family Therapist
- Fort Lauderdale, FL
- NPI 1568005841
-
- Mental Health Counselor
- Fort Lauderdale, FL
- NPI 1932691995
-
- Psychologist
- Fort Lauderdale, FL
- NPI 1285949164
-
- Mental Health Counselor
- Conshohocken, PA
- NPI 1538689997
-
- Psychologist
- Weston, FL
- NPI 1295440295
-
- Clinical Psychologist
- St Louis Park, MN
- NPI 1851695449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252454400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1699228800000",
"number": "1265765242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1421 SE 4TH AVE FL 1",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333161900",
"telephone_number": "954-616-5088",
"fax_number": "954-616-5147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1421 SE 4TH AVE FL 1",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333161900",
"telephone_number": "954-616-5088",
"fax_number": "954-616-5147"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOTIVATIONAL INSTITUTE FOR BEHAVIORAL HEALTH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-09-09",
"last_updated": "2023-11-06",
"certification_date": "2023-11-06",
"status": "A",
"authorized_official_last_name": "EICKLEBERRY",
"authorized_official_first_name": "LORI",
"authorized_official_middle_name": "LENAY",
"authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
"authorized_official_telephone_number": "954-315-1774",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY7732",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; 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.