Organization Active NPI

Cheri Surloff PH D Psy D PA

  • Clinical Neuropsychologist
  • North Miami Beach, FL
National Provider Identifier
1295922003
Registry record updated Feb 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PY5918 Issued in FL
Legal business name
CHERI SURLOFF PH D PSY D PA
Practice address
17251 NE 19TH Ave
North Miami Beach, FL 33162-2209
Phone
(305) 948-8444
NPI assigned
Sep 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2009

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

Authorized official

Name
Dr. Cheri Gay Surloff, PH D PSY D PANPI 1770507121
Title
President
Phone
(954) 456-7429

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)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103G00000X PY5918 FL Primary

Addresses

Primary practice location

17251 NE 19TH Ave
North Miami Beach, FL 33162-2209

Mailing address

501 Palm Dr
Hallandale Beach, FL 33009-6533
Phone (954) 456-7429

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090303000239 FL Part B Supplier - Clinic/Group Practice 0244396026 Receives reassigned benefits from 1 practitioner
Practice locations: North Miami Beach, FL

National Provider Directory

National Provider Directory

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": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234915200000",
    "number": "1295922003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 PALM DR",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330096533",
            "telephone_number": "954-456-7429",
            "fax_number": "954-456-0949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17251 NE 19TH AVE",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331622209",
            "telephone_number": "305-948-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERI SURLOFF PH D PSY D PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2009-02-18",
        "status": "A",
        "authorized_official_last_name": "SURLOFF",
        "authorized_official_first_name": "CHERI",
        "authorized_official_middle_name": "GAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-456-7429",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH D PSY D PA"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY5918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2009; 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.