Organization Active NPI

Caryn Watsky-Scileppi, PH.D., P.a.

  • Community/Behavioral Health Agency
  • Plantation, FL
National Provider Identifier
1356731921
Registry record updated Feb 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
PY8840 Issued in FL
Legal business name
CARYN WATSKY-SCILEPPI, PH.D., P.A.
Practice address
10928 NW 18TH Dr
Plantation, FL 33322-3442
Phone
(305) 776-1767
Fax
(954) 423-0901
NPI assigned
Feb 3, 2015
Last updated
Feb 3, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2015

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

Authorized official

Name
Dr. Caryn Watsky-Scileppi, PH.D.NPI 1396259388
Title
President
Phone
(305) 776-1767

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X PY8840 FL Primary

Addresses

Primary practice location

10928 NW 18TH Dr
Plantation, FL 33322-3442

Mailing address

10928 NW 18TH Dr
Plantation, FL 33322-3442
Phone (305) 776-1767

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200407003744 TX Part B Supplier - Clinic/Group Practice 1951665009 Receives reassigned benefits from 1 practitioner
Practice locations: Southlake, TX

National Provider Directory

National Provider Directory

Locations

1340 N White Chapel Blvd
Ste 130
Southlake, TX 76092
Phone (817) 203-4430

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": "1422921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422921600000",
    "number": "1356731921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10928 NW 18TH DR",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333223442",
            "telephone_number": "305-776-1767",
            "fax_number": "954-423-0901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10928 NW 18TH DR",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333223442",
            "telephone_number": "305-776-1767",
            "fax_number": "954-423-0901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARYN WATSKY-SCILEPPI, PH.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-03",
        "last_updated": "2015-02-03",
        "status": "A",
        "authorized_official_last_name": "WATSKY-SCILEPPI",
        "authorized_official_first_name": "CARYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-776-1767",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "PY8840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.