Individual provider Active NPI

Margot C Berros, PSY.D.

  • Clinical Psychologist
  • Weston, FL
National Provider Identifier
1447431069
Registry record updated Nov 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY 7629 Issued in FL
Practice address
1725 Main St
Suite 217
Weston, FL 33326-3667
Phone
(954) 385-8884
Fax
(954) 385-6911
NPI assigned
Nov 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY 7629 FL Primary

Addresses

Primary practice location

1725 Main St
Suite 217
Weston, FL 33326-3667

Mailing address

1725 Main St
Suite 217
Weston, FL 33326-3667
Phone (954) 385-8884

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

LicenseStateTypeSpecialty
PY 7629FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Amy Bravo Clinical Psychologist PA Clinical Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1196035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196035200000",
    "number": "1447431069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 MAIN ST",
            "address_2": "SUITE 217",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263667",
            "telephone_number": "954-385-8884",
            "fax_number": "954-385-6911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 MAIN ST",
            "address_2": "SUITE 217",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263667",
            "telephone_number": "954-385-8884",
            "fax_number": "954-385-6911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERROS",
        "first_name": "MARGOT",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-26",
        "last_updated": "2007-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY 7629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; 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.