Stella Rada, M.S., L.M.H.C. – Psychoanalyst

Key facts

NPI: 1306029145
Entity type: Individual (NPI type 1)
Primary specialty: Psychoanalyst 102L00000X
License: MH7484 (FL)
Practice address: 2645 Executive Park Dr
Suite 140
Weston, FL 33331-3624
Phone: (305) 801-7232
NPI assigned: Dec 16, 2007
Sex: Female
Sole proprietor: Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Psychodynanic Consulting Inc. Mental Health Clinic/Center (Including Community Mental Health Center) · Weston, FL · NPI 1659554491

NPD (past) Authorized official

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No
Credentials: Master of Science

State licenses

License	State	Type	Specialty
MH7484	FL	MD	Psychoanalyst

Practice roles

Organization	Specialty	Status	New patients
Psychodynanic Consulting Inc.		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Psychoanalyst	102L00000X	MH7484	FL	Yes

Addresses

Primary practice location

2645 Executive Park Dr
Suite 140
Weston, FL 33331-3624

Mailing address

19420 SW 30TH St
Miramar, FL 33029-5809
Phone (305) 801-7232

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 16, 2007.

{
    "created_epoch": "1197763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197763200000",
    "number": "1306029145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19420 SW 30TH ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330295809",
            "telephone_number": "305-801-7232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2645 EXECUTIVE PARK DR",
            "address_2": "SUITE 140",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313624",
            "telephone_number": "305-801-7232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADA",
        "first_name": "STELLA",
        "name_prefix": "Mrs.",
        "credential": "M.S., L.M.H.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-16",
        "last_updated": "2007-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "FL",
            "license": "MH7484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

All providers in Weston, FL · Psychoanalyst 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, 2007. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.