Cheryl a. Luis, PHD, Abpp-CN, PA

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

PY 6436 Issued in FL

Legal business name

CHERYL A. LUIS, PHD, ABPP-CN, PA

Practice address

450 N Park Rd
Suite 502
Hollywood, FL 33021-6917

Phone

(954) 964-7701

Fax

(954) 653-1413

NPI assigned

May 30, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Cheryl Ann Luis, PHD

Title

Owner

Phone

(954) 559-5073

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Cecilia Theresa Deidan, PHD

  • Clinical Neuropsychologist
  • Pembroke Pines, FL
  • NPI 1396757506
  NPD (past)

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

{
    "created_epoch": "1306713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306713600000",
    "number": "1457645103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13251 SW 16TH CT",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333255740",
            "telephone_number": "954-559-5073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 N PARK RD",
            "address_2": "SUITE 502",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216917",
            "telephone_number": "954-964-7701",
            "fax_number": "954-653-1413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERYL A. LUIS, PHD, ABPP-CN, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-30",
        "last_updated": "2011-05-30",
        "status": "A",
        "authorized_official_last_name": "LUIS",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-559-5073",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "PY 6436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rostande Cherelus
• Neenu Rosa Cherian, MD
• Helena Chernyak
• Liseanne A Cherubin, MS
• Laurie Chery
• Justin Lee Chevere, OT
• Isidora Paz Chevesich
• Kunnee Chew, LMT
• Nancy Chiang, MD
• Child Neurology LLC

• Community/Behavioral Health Agency in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2011; 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.