Active NPI
Tom Bachar, PSY.D
- Clinical Psychologist
- Plantation, FL
National Provider Identifier
1477335867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY11962
- Practice address
- 1333 S University Dr Ste 206
Plantation, FL 33324-4001 - Phone
- (954) 662-0295
- NPI assigned
- Oct 19, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY11962 | FL | Primary |
Addresses
Primary practice location
1333 S University Dr Ste 206
Plantation, FL 33324-4001
Mailing address
1333 S University Dr Ste 206
Plantation, FL 33324-4001
Phone (954) 662-0295
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY11962 | FL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697673600000",
"number": "1477335867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1333 S UNIVERSITY DR STE 206",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333244001",
"telephone_number": "954-662-0295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1333 S UNIVERSITY DR STE 206",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333244001",
"telephone_number": "954-662-0295"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BACHAR",
"first_name": "TOM",
"name_prefix": "Dr.",
"credential": "PSY.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-10-19",
"last_updated": "2023-10-19",
"certification_date": "2023-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY11962",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plantation, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.