Organization Active NPI

Neurobehavioral Health Institute Inc

  • Clinical Neuropsychologist
  • Plantation, FL
National Provider Identifier
1427075373
Registry record updated Mar 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PY4518 Issued in FL
Legal business name
NEUROBEHAVIORAL HEALTH INSTITUTE INC
Practice address
400 NW 74TH Ave
Plantation, FL 33317-1618
Phone
(954) 321-1980
Fax
(954) 321-0747
NPI assigned
Jul 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2011

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

Authorized official

Name
Mrs. Elise Dileonardo
Title
Office Manager
Phone
(954) 321-1980

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103G00000X PY4518 FL Primary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X PY4518 FL

Addresses

Primary practice location

400 NW 74TH Ave
Plantation, FL 33317-1618

Mailing address

400 NW 74TH Ave
Plantation, FL 33317-1618
Phone (954) 321-1980

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040525001449 FL Part B Supplier - Clinic/Group Practice 1557342631 Receives reassigned benefits from 6 practitioners
Practice locations: Fort Lauderdale, FL; Ft Lauderdale, FL

National Provider Directory

National Provider Directory

Locations

5353 N Federal Hwy
Ste 404
Ft Lauderdale, FL 33308
Phone (954) 321-1980

3471 N Federal Hwy
Ste 508
Ft Lauderdale, FL 33306
Phone (954) 321-1980

410 NW 74th Ave
Plantation, FL 33317
Phone (954) 321-1980

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300233600000",
    "number": "1427075373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 NW 74TH AVE",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333171618",
            "telephone_number": "954-321-1980",
            "fax_number": "954-321-0747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 NW 74TH AVE",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333171618",
            "telephone_number": "954-321-1980",
            "fax_number": "954-321-0747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROBEHAVIORAL HEALTH INSTITUTE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2011-03-16",
        "status": "A",
        "authorized_official_last_name": "DILEONARDO",
        "authorized_official_first_name": "ELISE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "954-321-1980",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY4518",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY4518",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.