Sardonyx Group Therapy Inc

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

Legal business name

SARDONYX GROUP THERAPY INC

Practice address

4320 W Broward Blvd Ste 4
Plantation, FL 33317-3756

Phone

(954) 266-9013

Fax

(855) 941-2537

NPI assigned

May 11, 2017

Organization subpart

No

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

Authorized official

Name

Shavonne Kristine Brown-O'Meally

Title

President

Phone

(954) 266-9013

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Children's World Therapy Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620259200000",
    "number": "1477089274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4320 W BROWARD BLVD STE 4",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333173756",
            "telephone_number": "954-266-9013",
            "fax_number": "786-257-5686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 W BROWARD BLVD STE 4",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333173756",
            "telephone_number": "954-266-9013",
            "fax_number": "855-941-2537"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8240 sw 3rd st",
            "address_purpose": "LOCATION",
            "city": "North Lauderdale",
            "state": "FL",
            "postal_code": "330681004",
            "country_code": "US",
            "telephone_number": "954-548-6282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SARDONYX GROUP THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A",
        "authorized_official_last_name": "BROWN-O'MEALLY",
        "authorized_official_first_name": "SHAVONNE",
        "authorized_official_middle_name": "KRISTINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-266-9013"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023552400",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016647600",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "sardonyxinc@gmail.com",
            "affiliation": "N",
            "address_1": "4320 W Broward Blvd Ste 4",
            "city": "Plantation",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333173756",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Children's World Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Allen Saparzadeh, DDS
• Lisa Saponaro, PH.D.
• Mildred Milady Saravia Mendoza, HAD
• Michelle Camila Sardinas Lopez
• Giezy Sardinas, M.D.
• Aichel Sarduy Perez
• Sarine M. Salama, LMHC Inc.
• Tania Tusharkanti Sarker, M.D.
• Glenda Sarli
• Russell Frank Sassani, MD

• Comprehensive Outpatient Rehabilitation Facility (CORF) in Plantation, FL
• Providers in Plantation, FL by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; 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.