Active NPI
Myles Alan Runsdorf, PSY.D.
- Psychologist
- Boca Raton, FL
National Provider Identifier
1376712166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY 5801
- Practice address
- 9325 Glades Rd
Suite #208
Boca Raton, FL 33434-3988 - Phone
- (561) 362-9030
- Fax
- (561) 362-9040
- NPI assigned
- Feb 26, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PY 5801 | FL | Primary |
Addresses
Primary practice location
9325 Glades Rd
Suite #208
Boca Raton, FL 33434-3988
Mailing address
9325 Glades Rd
Suite #208
Boca Raton, FL 33434-3988
Phone (561) 362-9030
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY 5801 | FL | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203984000000",
"number": "1376712166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9325 GLADES RD",
"address_2": "SUITE #208",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334343988",
"telephone_number": "561-362-9030",
"fax_number": "561-362-9040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9325 GLADES RD",
"address_2": "SUITE #208",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334343988",
"telephone_number": "561-362-9030",
"fax_number": "561-362-9040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUNSDORF",
"first_name": "MYLES",
"middle_name": "ALAN",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-26",
"last_updated": "2008-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "FL",
"license": "PY 5801",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.