Individual provider Active NPI

Amy Strunin Simler, PSY.D.

  • Clinical Psychologist
  • Fort Lauderdale, FL
National Provider Identifier
1396286308
Registry record updated Mar 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY 9784 Issued in FL
Practice address
3600 N Ocean Blvd
Fort Lauderdale, FL 33308-6424
Phone
(954) 732-0791
NPI assigned
Mar 10, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY 9784 FL Primary

Addresses

Primary practice location

3600 N Ocean Blvd
Fort Lauderdale, FL 33308-6424

Mailing address

1401 NE 9TH St Apt 26
Fort Lauderdale, FL 33304-4411
Phone (954) 732-0791

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PY 9784FLMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1489104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489104000000",
    "number": "1396286308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 NE 9TH ST APT 26",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333044411",
            "telephone_number": "954-732-0791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 N OCEAN BLVD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333086424",
            "telephone_number": "954-732-0791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMLER",
        "first_name": "AMY",
        "middle_name": "STRUNIN",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-10",
        "last_updated": "2017-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY 9784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2017; 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.