Active NPI
Beth Lynne Pomerantz Herzbrun, PH.D.
- Clinical Psychologist
- Sunrise, FL
National Provider Identifier
1407043029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY5536
- Practice address
- 4800 N Nob Hill Rd
Sunrise, FL 33351-4722 - Phone
- (954) 854-5881
- NPI assigned
- Sep 27, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY5536 | FL | Primary |
Addresses
Primary practice location
4800 N Nob Hill Rd
Sunrise, FL 33351-4722
Mailing address
7393 NW 18TH CT
Pembroke Pines, FL 33024-1007
Phone (954) 854-5881
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY5536 | FL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490745600000",
"number": "1407043029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7393 NW 18TH CT",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330241007",
"telephone_number": "954-854-5881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4800 N NOB HILL RD",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333514722",
"telephone_number": "954-854-5881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POMERANTZ HERZBRUN",
"first_name": "BETH",
"middle_name": "LYNNE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-27",
"last_updated": "2017-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY5536",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sunrise, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.