East Las Olas Psychological Group

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MENTAL HEALTH 1856 Issued in FL

Legal business name

EAST LAS OLAS PSYCHOLOGICAL GROUP

Practice address

108 SE 8TH Avenue, Suite 203
Fort Lauderdale, FL 33140

Phone

(954) 768-0434

Fax

(954) 768-0285

NPI assigned

May 3, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Richard P Del Prete, LMHCNPI 1326115544

Title

President

Phone

(964) 768-0434

Specialties & licenses 1

Addresses

Tax ID family

East Las Olas Psychological Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• East Las Olas Psychological Group

  • Mental Health Counselor
  • Fort Lauderdale, FL
  • NPI 1073720835
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard P. Del Prete, LMHC

  • Mental Health Counselor
  • Fort Lauderdale, FL
  • NPI 1326115544
  NPD Authorized official

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306068622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 SE 8TH AVENUE, SUITE 203",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "33140",
            "telephone_number": "954-768-0434",
            "fax_number": "954-768-0285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 SE 8TH AVENUE, SUITE 203",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "33140",
            "telephone_number": "954-768-0434",
            "fax_number": "954-768-0285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST LAS OLAS PSYCHOLOGICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEL PRETE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "964-768-0434",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MENTAL HEALTH 1856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.