Active NPI
Yvonne Izsack Demsky, PH.D.
- Clinical Neuropsychologist
- Coral Springs, FL
National Provider Identifier
1346523255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- PY5495
- Practice address
- 1890 N University Dr
Suite 215
Coral Springs, FL 33071-8963 - Phone
- (954) 227-2700
- Fax
- (954) 227-2704
- NPI assigned
- Sep 27, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | PY5495 | FL | Primary |
| Clinical Psychologist | 103TC0700X | PY5495 | FL |
Addresses
Primary practice location
1890 N University Dr
Suite 215
Coral Springs, FL 33071-8963
Mailing address
1890 N University Dr
Suite 215
Coral Springs, FL 33071-8963
Phone (954) 227-2700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY5495 | FL | MD | Clinical Neuropsychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindpath Health Florida, PLLC | Clinical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317081600000",
"number": "1346523255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1890 N UNIVERSITY DR",
"address_2": "SUITE 215",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330718963",
"telephone_number": "954-227-2700",
"fax_number": "954-227-2704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1890 N UNIVERSITY DR",
"address_2": "SUITE 215",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330718963",
"telephone_number": "954-227-2700",
"fax_number": "954-227-2704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMSKY",
"first_name": "YVONNE",
"middle_name": "IZSACK",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-27",
"last_updated": "2011-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "FL",
"license": "PY5495",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY5495",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coral Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.