Active NPI
Sandra Suyama
- Mental Health Counselor
- Pembroke Pines, FL
National Provider Identifier
1366775223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH7282
- Practice address
- 8301 S Palm Dr
Pembroke Pines, FL 33025-4535 - Phone
- (945) 966-7771
- Fax
- (305) 442-9537
- NPI assigned
- Sep 10, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH7282 | FL | Primary |
Addresses
Primary practice location
8301 S Palm Dr
Pembroke Pines, FL 33025-4535
Mailing address
2645 SW 37TH Ave
Ste 601
Miami, FL 33133-2754
Phone (305) 443-9990
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151123000216 | FL | Practitioner - Clinical Psychologist | 4587964614 | Practice locations: Dania, FL |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH7282 | FL | MD | Mental Health Counselor |
| PY9276 | FL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Green Cross Health Systems Inc | Past | Accepting new patients | |
| Green Cross of Pembroke Pines | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Pembroke Pines, FL
- NPI 1558387183
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Pembroke Pines, FL
- NPI 1699847301
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252540800000",
"number": "1366775223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2645 SW 37TH AVE",
"address_2": "STE 601",
"city": "MIAMI",
"state": "FL",
"postal_code": "331332754",
"telephone_number": "305-443-9990",
"fax_number": "305-442-9537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8301 S PALM DR",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330254535",
"telephone_number": "945-966-7771",
"fax_number": "305-442-9537"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUYAMA",
"first_name": "SANDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-10",
"last_updated": "2009-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH7282",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.