Organization Active NPI

Children's Educational & Psychological Services

  • Counseling Psychologist
  • Weston, FL
National Provider Identifier
1346521424
Registry record updated Sep 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
SS 989 Issued in FL
Legal business name
CHILDREN'S EDUCATIONAL & PSYCHOLOGICAL SERVICES
Practice address
2883 Executive Park Dr
Suite 103 F
Weston, FL 33331-3662
Phone
(954) 579-6949
Fax
(754) 223-7123
NPI assigned
Sep 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2011

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

Authorized official

Name
Mr. David Krasky, PSY.S.NPI 1760780431
Title
Lead Psychologist
Phone
(954) 579-6949

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC1900X SS 989 FL Primary
Community/Behavioral Health Agency 251S00000X SS 989 FL

Addresses

Primary practice location

2883 Executive Park Dr
Suite 103 F
Weston, FL 33331-3662

Mailing address

2883 Executive Park Dr
Suite 103 F
Weston, FL 33331-3662
Phone (954) 579-6949

National Provider Directory

National Provider Directory

Locations

2883 Executive Park Dr
Ste 103F
Weston, FL 33331
Phone (305) 494-6866

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1314921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314921600000",
    "number": "1346521424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2883 EXECUTIVE PARK DR",
            "address_2": "SUITE 103 F",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313662",
            "telephone_number": "954-579-6949",
            "fax_number": "754-223-7123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2883 EXECUTIVE PARK DR",
            "address_2": "SUITE 103 F",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313662",
            "telephone_number": "954-579-6949",
            "fax_number": "754-223-7123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S EDUCATIONAL & PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-02",
        "last_updated": "2011-09-02",
        "status": "A",
        "authorized_official_last_name": "KRASKY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "LEAD PSYCHOLOGIST",
        "authorized_official_telephone_number": "954-579-6949",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PSY.S."
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": "FL",
            "license": "SS 989",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "SS 989",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2011; 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.