Organization Active NPI

Marsha Minkin Psy D P a

  • Point of Service
  • Hollywood, FL
National Provider Identifier
1386800720
Registry record updated May 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
5829 Issued in FL
Legal business name
MARSHA MINKIN PSY D P A
Practice address
5700 Hollywood Blvd
Hollywood, FL 33021-6350
Phone
(954) 983-7457
Fax
(954) 983-2963
NPI assigned
Aug 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2010

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

Authorized official

Name
Dr. Marsha Minkin, PSY D P A
Title
Clinical Psychologist
Phone
(954) 983-7457

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 5829 FL
Preferred Provider Organization 305R00000X 5829 FL
Point of Service 305S00000X 5829 FL Primary

Addresses

Primary practice location

5700 Hollywood Blvd
Hollywood, FL 33021-6350

Mailing address

5700 Hollywood Blvd
Hollywood, FL 33021-6350
Phone (954) 983-7457

National Provider Directory

National Provider Directory

Locations

5700 Hollywood Blvd
Hollywood, FL 33021
Phone (954) 983-7457

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1217894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274400000000",
    "number": "1386800720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 HOLLYWOOD BLVD",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216350",
            "telephone_number": "954-983-7457",
            "fax_number": "954-983-2963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 HOLLYWOOD BLVD",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216350",
            "telephone_number": "954-983-7457",
            "fax_number": "954-983-2963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHA MINKIN PSY D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-05",
        "last_updated": "2010-05-21",
        "status": "A",
        "authorized_official_last_name": "MINKIN",
        "authorized_official_first_name": "MARSHA",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "954-983-7457",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY D P A"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "FL",
            "license": "5829",
            "primary": false
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "FL",
            "license": "5829",
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "FL",
            "license": "5829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.