Individual provider Active NPI

Patricia A Garvie, PH.D.

  • Clinical Child & Adolescent Psychologist
  • Fort Lauderdale, FL
National Provider Identifier
1497740914
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
PY6190 Issued in FL
Practice address
1401 S Federal Hwy
Fort Lauderdale, FL 33316-2619
Phone
(954) 728-8080
Fax
(954) 779-1957
NPI assigned
Sep 12, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X PY6190 FL Primary

Addresses

Primary practice location

1401 S Federal Hwy
Fort Lauderdale, FL 33316-2619

Mailing address

1700 NW 49TH Street
Suite 125
Fort Lauderdale, FL 33309-3763
Phone (954) 728-8080

Other identifiers 1

IdentifierTypeStateIssuer
00846600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Childrens Diagnostic & Treatment Center Inc CurrentSince Jan 17, 2017 Accepting new patients
Childrens Diagnostic & Treatment Center Inc CurrentSince Jan 17, 2017 Accepting new patients

Locations

1401 S Federal Hwy
Ft Lauderdale, FL 33316
Phone (954) 728-1083

1700 NW 49th St
Ste 125
Ft Lauderdale, FL 33309
Phone (954) 355-3490

Interoperability endpoints

  • Direct secure messaging: patricia.garvie.p1@direct.browardhealth.nextgenshare.com

Organizations & group practices 2

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": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1497740914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 NW 49TH STREET",
            "address_2": "SUITE 125",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333093763",
            "telephone_number": "954-728-8080",
            "fax_number": "954-779-1957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 S FEDERAL HWY",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162619",
            "telephone_number": "954-728-8080",
            "fax_number": "954-779-1957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARVIE",
        "first_name": "PATRICIA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-12",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "FL",
            "license": "PY6190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00846600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.