Individual provider Active NPI

Sarajo Bunny Falk, PSY.D.PA

  • Clinical Psychologist
  • Lauderhill, FL
National Provider Identifier
1336233352
Registry record updated Nov 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY5737 Issued in FL
Practice address
3410 Rose Hill Way
Lauderhill, FL 33319-5130
Phone
(954) 731-0690
Fax
(954) 366-2056
NPI assigned
Oct 3, 2006
Last updated
Nov 2, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY5737 FL Primary

Addresses

Primary practice location

3410 Rose Hill Way
Lauderhill, FL 33319-5130

Mailing address

PO Box 934068
Margate, FL 33093-4068
Phone (954) 366-2700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230123000800 FL Practitioner - Clinical Psychologist 2860394012 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Thriveworks Clinical - Florida IncGroup PAC ID 5496173577, 85 clinicians

Practice addresses (Care Compare)

2425 E Commercial Blvd
Suite 405
Fort Lauderdale, FL 33308-4029
Phone (754) 400-5514

7999 N Federal Hwy
Suite 202
Boca Raton, FL 33487-1673
Phone (561) 285-3503

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Sarajo Bunny Falk Psy.D PA Clinical CurrentSince Jul 8, 2004 Accepting new patients
Thriveworks Clinical - Florida Inc CurrentSince Dec 22, 2022 Accepting new patients
Rose Hill Psychology PA Clinical Past Accepting new patients

Locations

2425 E Commercial Blvd
Ste 405
Fort Lauderdale, FL 33308
Phone (754) 400-5514

4115 W Spruce St
Ste 205
Tampa, FL 33607
Phone (813) 413-4663

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288656000000",
    "number": "1336233352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 934068",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330934068",
            "telephone_number": "954-366-2700",
            "fax_number": "954-366-2056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 ROSE HILL WAY",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333195130",
            "telephone_number": "954-731-0690",
            "fax_number": "954-366-2056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALK",
        "first_name": "SARAJO",
        "middle_name": "BUNNY",
        "credential": "PSY.D.PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2010-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY5737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderhill, FL

Sources for this page

Verify at the official NPI Registry.