Lisa Faraldo PHD PA

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

LISA FARALDO PHD PA

Practice address

480 SE 1St Ave
Pompano Beach, FL 33060-7104

Phone

(954) 784-8866

NPI assigned

Oct 8, 2009

Organization subpart

No

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

Authorized official

Name

Lisa Faraldo, PHDNPI 1285882050

Title

President

Phone

(954) 784-8866

Specialties & licenses 1

Addresses

Practitioners 1

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

• Lisa Faraldo, PH.D.

  • Clinical Psychologist
  • Boca Raton, FL
  • NPI 1285882050
  NPD (past) Authorized official

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

{
    "created_epoch": "1254960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254960000000",
    "number": "1457686453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 SE 1ST AVE",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330607104",
            "telephone_number": "954-784-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 SE 1ST AVE",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330607104",
            "telephone_number": "954-784-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA FARALDO PHD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-08",
        "last_updated": "2009-10-08",
        "status": "A",
        "authorized_official_last_name": "FARALDO",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-784-8866",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2009; 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.