Individual provider Active NPI

Sandra Suyama

  • Mental Health Counselor
  • Pembroke Pines, FL
National Provider Identifier
1366775223
Registry record updated Sep 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH7282 Issued in FL
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

Updated by the provider on Sep 10, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151123000216 FL Practitioner - Clinical Psychologist 4587964614 Practice locations: Dania, FL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH7282FLMDMental Health Counselor
PY9276FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.