Organization Active NPI

Dr. Dana Ratsprecher Psy.D., LLC

  • Clinical Psychologist
  • Boca Raton, FL
National Provider Identifier
1437382199
Registry record updated Nov 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
DR. DANA RATSPRECHER PSY.D., LLC
Practice address
6658 Montego Bay Blvd Apt F
Boca Raton, FL 33433-4060
Phone
(954) 629-0435
NPI assigned
Aug 28, 2009
Last updated
Nov 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2011

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

Authorized official

Name
Dr. Dana Gallow, PSY.D.
Title
Owner
Phone
(954) 629-0435

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X NU Primary

Addresses

Primary practice location

6658 Montego Bay Blvd Apt F
Boca Raton, FL 33433-4060

Mailing address

6658 Montego Bay Blvd Apt F
Boca Raton, FL 33433-4060
Phone (954) 629-0435

Other identifiers 1

IdentifierTypeStateIssuer
606359339MedicaidGA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120113000325 FL Part B Supplier - Clinic/Group Practice 2466629530 Receives reassigned benefits from 13 practitioners
Practice locations: Boca Raton, FL; West Palm Beach, FL; Palm Beach Gardens, FL; Lake Worth, FL; Fort Lauderdale, FL; Boynton Beach, FL

National Provider Directory

National Provider Directory

Locations

1700 N Dixie Hwy
Ste 103
Boca Raton, FL 33432
Phone (561) 573-2222

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1251417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320624000000",
    "number": "1437382199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6658 MONTEGO BAY BLVD APT F",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334334060",
            "telephone_number": "954-629-0435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6658 MONTEGO BAY BLVD APT F",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334334060",
            "telephone_number": "954-629-0435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. DANA RATSPRECHER PSY.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-28",
        "last_updated": "2011-11-07",
        "status": "A",
        "authorized_official_last_name": "GALLOW",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-629-0435",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "606359339",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.