Beth Klein, PHD

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PY0005943 Issued in FL

Practice address

1625 N Commerce Pkwy
Suite 200
Weston, FL 33326-3216

Phone

(954) 423-4231

Fax

(954) 423-4231

NPI assigned

Apr 11, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410480000000",
    "number": "1396968020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20421 SW 51ST ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333321565",
            "telephone_number": "954-423-4231",
            "fax_number": "954-423-4231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 N COMMERCE PKWY",
            "address_2": "SUITE 200",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263216",
            "telephone_number": "954-423-4231",
            "fax_number": "954-423-4231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2014-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY0005943",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY0005943",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "320179549",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "BK 54459",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Imtithal Kisirwan, APRN, AGACNP, FNP
• Vandhana Bhagwan Kiswani-Barley, M.D.
• Lauren Kittel Brickman, PSY.D.
• Michelle Klainbaum
• Savannah Kay-Lee Klee
• Daniel S Klein, D.O.
• Myung-Jun Ko
• Jyotsna Kochiyil, MD
• Kohm Care Transportation, LLC
• Sinjana Bala Kolipaka

• Clinical Neuropsychologist in Weston, FL
• Providers in Weston, FL by specialty
• Clinical Neuropsychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2014; 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.