Salubrious Psychological Services

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

SALUBRIOUS PSYCHOLOGICAL SERVICES

Practice address

6511 Nova Dr # 176
Davie, FL 33317-7401

Phone

(954) 465-4177

NPI assigned

Sep 25, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Ime Ekong, PSYD

Title

Director

Phone

(954) 465-4177

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1600992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616976000000",
    "number": "1427665322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6511 NOVA DR # 176",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333177401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6511 NOVA DR # 176",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333177401",
            "telephone_number": "954-465-4177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALUBRIOUS PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-25",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A",
        "authorized_official_last_name": "EKONG",
        "authorized_official_first_name": "IME",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "954-465-4177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; 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.