Individual provider Active NPI

Caryn Watsky-Scileppi, PHD

  • Counseling Psychologist
  • Plantation, FL
National Provider Identifier
1396259388
Registry record updated Nov 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
PY8840 Issued in FL
Practice address
120 S University Dr Ste a
Plantation, FL 33324-3330
Phone
(954) 903-7032
Fax
(954) 423-0901
NPI assigned
Nov 29, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X PY8840 FL Primary

Addresses

Primary practice location

120 S University Dr Ste a
Plantation, FL 33324-3330

Mailing address

10928 NW 18TH Dr
Plantation, FL 33322-3442
Phone (954) 903-7032

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20200408004139 TX Practitioner - Clinical Psychologist 4486918539 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1340 N White Chapel Blvd
Suite 130
Southlake, TX 76092-4327
Phone (817) 203-4430

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
38394TXMDEndodontist

Organizations & group practices 1

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": "1511913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511913600000",
    "number": "1396259388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10928 NW 18TH DR",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333223442",
            "telephone_number": "954-903-7032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S UNIVERSITY DR STE A",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243330",
            "telephone_number": "954-903-7032",
            "fax_number": "954-423-0901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSKY-SCILEPPI",
        "first_name": "CARYN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-29",
        "last_updated": "2017-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "FL",
            "license": "PY8840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.