Organization Active NPI

Stanley B Seidman PHD PA D B a Associates in Behavioral Counseling

Doing business as Associates in Behavioral Counseling

  • Clinical Psychologist
  • Fort Lauderdale, FL
National Provider Identifier
1275627960
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
STANLEY B SEIDMAN PHD PA D B A ASSOCIATES IN BEHAVIORAL COUNSELING
Doing business as
Associates in Behavioral Counseling
Practice address
449 Bontona Ave
Fort Lauderdale, FL 33301-2419
Phone
(954) 742-8400
Fax
(954) 742-0918
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Authorized official

Name
Carol Seidman
Title
President
Phone
(954) 742-8400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

449 Bontona Ave
Fort Lauderdale, FL 33301-2419

Mailing address

449 Bontona Ave
Fort Lauderdale, FL 33301-2419
Phone (954) 742-8400

Other names 1

  • Associates in Behavioral Counseling Doing business as

National Provider Directory

National Provider Directory

Locations

7800 W Oakland Park Blvd
Ste 102
Sunrise, FL 33351
Phone (954) 742-8400

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713398400000",
    "number": "1275627960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "449 BONTONA AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333012419",
            "telephone_number": "954-742-8400",
            "fax_number": "954-742-0918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "449 BONTONA AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333012419",
            "telephone_number": "954-742-8400",
            "fax_number": "954-742-0918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANLEY B SEIDMAN PHD PA D B A ASSOCIATES IN BEHAVIORAL COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A",
        "authorized_official_last_name": "SEIDMAN",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-742-8400"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Associates in Behavioral Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 18, 2024; 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.