Active NPI
Emk Psychological Services LLC
- Clinical Psychologist
- Hallandale Beach, FL
National Provider Identifier
1295504306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- EMK PSYCHOLOGICAL SERVICES LLC
- Practice address
- 200 Diplomat Pkwy Apt 422
Hallandale Beach, FL 33009-8715 - Phone
- (917) 660-0250
- NPI assigned
- Dec 29, 2023
- 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
- Emily Kleyman
- Title
- Owner
- Phone
- (917) 660-0250
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 | Primary |
Addresses
Primary practice location
200 Diplomat Pkwy Apt 422
Hallandale Beach, FL 33009-8715
Mailing address
200 Diplomat Pkwy Apt 422
Hallandale Beach, FL 33009-8715
Phone (917) 660-0250
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240313002156 | FL | Part B Supplier - Clinic/Group Practice | 4981040805 |
Receives reassigned benefits from 1 practitioner Practice locations: Hallandale Beach, FL |
National Provider Directory
National Provider DirectoryPractitioners & 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": "1703808000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1703808000000",
"number": "1295504306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 DIPLOMAT PKWY APT 422",
"city": "HALLANDALE BEACH",
"state": "FL",
"postal_code": "330098715",
"telephone_number": "917-660-0250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 DIPLOMAT PKWY APT 422",
"city": "HALLANDALE BEACH",
"state": "FL",
"postal_code": "330098715",
"telephone_number": "917-660-0250"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMK PSYCHOLOGICAL SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-29",
"last_updated": "2023-12-29",
"certification_date": "2023-12-29",
"status": "A",
"authorized_official_last_name": "KLEYMAN",
"authorized_official_first_name": "EMILY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "917-660-0250"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hallandale Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.