Active NPI
Kynan Metoyer, PSY.D.
- Clinical Neuropsychologist
- Hollywood, FL
National Provider Identifier
1437408572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- PY9505
- Practice address
- 111 W Coral Way
Hollywood, FL 33021-3860 - Phone
- (808) 298-3640
- NPI assigned
- Sep 5, 2012
- Last updated
- May 8, 2023
- Sex
- Male
- Sole proprietor
- No
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 Neuropsychologist | 103G00000X | PY9505 | FL | Primary |
Addresses
Primary practice location
111 W Coral Way
Hollywood, FL 33021-3860
Mailing address
13910 Appalachian TRL
Davie, FL 33325-6502
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY9505 | FL | MD | Clinical Neuropsychologist |
| 15936 | FL | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683504000000",
"number": "1437408572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13910 APPALACHIAN TRL",
"city": "DAVIE",
"state": "FL",
"postal_code": "333256502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 W CORAL WAY",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330213860",
"telephone_number": "808-298-3640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "METOYER",
"first_name": "KYNAN",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-09-05",
"last_updated": "2023-05-08",
"certification_date": "2023-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "FL",
"license": "PY9505",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hollywood, FL
- Alberta Maria Messer, ARNP
- Jennifer Messinger, LMT
- Metamorphosis Medispa & Wellness Center
- Jahnise Emily Metellus
- Stephanie Metellus
- Metro Treatment of Florida, LP (New Season Treatment Center 2)
- Metrocare Healthcare Systems, Inc
- Metropolitan Home Health Inc.
- Alissa Marie Meyer, PA-C
- MG Medical Facility Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.