Individual provider Active NPI

Anna Chuneyeva, PSY.D.

  • Psychologist
  • Hollywood, FL
National Provider Identifier
1467720508
Registry record updated Feb 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY8394 Issued in FL
Practice address
3700 Washington St
Suite 304
Hollywood, FL 33021-8256
Phone
(954) 961-1500
Fax
(954) 961-7942
NPI assigned
Dec 4, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY8394 FL Primary

Addresses

Primary practice location

3700 Washington St
Suite 304
Hollywood, FL 33021-8256

Mailing address

3700 Washington St
Suite 304
Hollywood, FL 33021-8256
Phone (954) 961-1500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120124000898 FL Practitioner - Clinical Psychologist 1759558240 Practice locations: Hollywood, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2455 Hollywood Blvd
Suite 108
Hollywood, FL 33020-6605
Phone (954) 453-1144

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological Solutions PA Psychologist Current Accepting new patients

Networks

  • Freedom Health HMO Network

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": "1322956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392595200000",
    "number": "1467720508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 WASHINGTON ST",
            "address_2": "SUITE 304",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330218256",
            "telephone_number": "954-961-1500",
            "fax_number": "954-961-7942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 WASHINGTON ST",
            "address_2": "SUITE 304",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330218256",
            "telephone_number": "954-961-1500",
            "fax_number": "954-961-7942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNEYEVA",
        "first_name": "ANNA",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-04",
        "last_updated": "2014-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY8394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.