Organization Active NPI

Wellness Group of Sunset Strip, LLC

  • Group Psychotherapy Psychologist
  • Sunrise, FL
National Provider Identifier
1316381288
Registry record updated Jun 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Group Psychotherapy PsychologistTaxonomy code 103TP2701X
Legal business name
WELLNESS GROUP OF SUNSET STRIP, LLC
Practice address
1060 Sunset Strip
Sunrise, FL 33313-6106
Phone
(954) 990-7101
Fax
(954) 990-7106
NPI assigned
Apr 23, 2013
Last updated
Jun 6, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2014

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

Authorized official

Name
Dr. Farid Assouad, M.D.
Title
Owner
Phone
(954) 990-7101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Group Psychotherapy Psychologist 103TP2701X NU Primary

Addresses

Primary practice location

1060 Sunset Strip
Sunrise, FL 33313-6106

Mailing address

PO Box 8895
Coral Springs, FL 33075-8895
Phone (954) 990-7101

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1366675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402012800000",
    "number": "1316381288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8895",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330758895",
            "telephone_number": "954-990-7101",
            "fax_number": "954-990-7106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 SUNSET STRIP",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333136106",
            "telephone_number": "954-990-7101",
            "fax_number": "954-990-7106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS GROUP OF SUNSET STRIP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-23",
        "last_updated": "2014-06-06",
        "status": "A",
        "authorized_official_last_name": "ASSOUAD",
        "authorized_official_first_name": "DR. FARID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-990-7101",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2014; 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.