Organization Active NPI

Lori Sarvis , LCSW PA

  • Preferred Provider Organization
  • Deerfield BCH, FL
National Provider Identifier
1386903482
Registry record updated Jun 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
SW0002627 Issued in FL
Legal business name
LORI SARVIS , LCSW PA
Practice address
2151 W Hillsboro Blvd Ste 203
Deerfield BCH, FL 33442-1275
Phone
(954) 426-0410
Fax
(954) 596-4822
NPI assigned
May 9, 2012
Last updated
Jun 6, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2019

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

Authorized official

Name
Lori Sarvis, LCSWNPI 1023091675
Title
LCSW, PA
Phone
(954) 426-0410

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
Preferred Provider Organization 305R00000X SW0002627 FL Primary

Addresses

Primary practice location

2151 W Hillsboro Blvd Ste 203
Deerfield BCH, FL 33442-1275

Mailing address

2151 W Hillsboro Blvd Ste 203
Deerfield BCH, FL 33442-1275
Phone (954) 426-0410

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190718001463 FL Part B Supplier - Clinic/Group Practice 8628303278 Receives reassigned benefits from 2 practitioners
Practice locations: Boynton Beach, FL

National Provider Directory

National Provider Directory

Locations

2151 W Hillsboro Blvd
Ste 203
Deerfield Beach, FL 33442
Phone (954) 426-0410

Practitioners & affiliated clinicians

Practitioners 4

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": "1336521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559779200000",
    "number": "1386903482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 W HILLSBORO BLVD STE 203",
            "city": "DEERFIELD BCH",
            "state": "FL",
            "postal_code": "334421275",
            "telephone_number": "954-426-0410",
            "fax_number": "954-596-4822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 W HILLSBORO BLVD STE 203",
            "city": "DEERFIELD BCH",
            "state": "FL",
            "postal_code": "334421275",
            "telephone_number": "954-426-0410",
            "fax_number": "954-596-4822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORI SARVIS , LCSW PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-09",
        "last_updated": "2019-06-06",
        "status": "A",
        "authorized_official_last_name": "SARVIS",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "LCSW, PA",
        "authorized_official_telephone_number": "954-426-0410",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "FL",
            "license": "SW0002627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield BCH, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2019; 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.