Ilyssa Hershey, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY6625 Issued in FL

Practice address

2855 N University Dr
Ste 410
Coral Springs, FL 33065-1408

Phone

(954) 849-2012

NPI assigned

Jul 2, 2012

Last updated

Nov 5, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Clinical Psychologist

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ilyssa Hershey PSYD LLC

  • Clinical Psychologist
  • Pembroke Pines, FL
  • NPI 1013260082
  Medicare reassignment NPD Authorized official
• Maya Bat-Ami PSYD PA

  • Psychologist
  • Hallandale Beach, FL
  • NPI 1851795181
  NPD (past)

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

{
    "created_epoch": "1341187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478304000000",
    "number": "1417211723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4581 WESTON ROAD",
            "address_2": "PMB 351",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313141",
            "telephone_number": "954-849-2012",
            "fax_number": "754-229-8251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 N UNIVERSITY DR",
            "address_2": "STE 410",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330651408",
            "telephone_number": "954-849-2012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERSHEY",
        "first_name": "ILYSSA",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-02",
        "last_updated": "2016-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY6625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heron Bay Dental Associates, P.a.
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• Abigail Herrera
• Tiffany Aaliyah Herridge, COTA/L
• Shoshana Herrmann, APRN
• Samuel Jonathan Hess, M.D.
• Ariel K Heyliger St. Fleur, PHD
• Jennifer Dawn Hibbs, DPT
• Valery A Hidalgo, LMHC
• Simone Higgins

• Clinical Psychologist in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.