Active NPI
Svetlana Grodzitsky, PSY.D.
- Clinical Psychologist
- Wellington, FL
National Provider Identifier
1316301310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY8735
- Practice address
- 11120 S Crown Way
Wellington, FL 33414-8718 - Phone
- (561) 790-1191
- NPI assigned
- Apr 6, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY8735 | FL | Primary |
Addresses
Primary practice location
11120 S Crown Way
Wellington, FL 33414-8718
Mailing address
10951 Cypress Run Cir
Coral Springs, FL 33071-6322
Phone (954) 798-3975
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459900800000",
"number": "1316301310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10951 CYPRESS RUN CIR",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330716322",
"telephone_number": "954-798-3975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11120 S CROWN WAY",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334148718",
"telephone_number": "561-790-1191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRODZITSKY",
"first_name": "SVETLANA",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-06",
"last_updated": "2016-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY8735",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wellington, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.