Organization Active NPI

Michael a. Schenker PHD Inc

  • Clinical Psychologist
  • Pembroke Pines, FL
National Provider Identifier
1558403410
Registry record updated Jun 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY5906 Issued in FL
Legal business name
MICHAEL A. SCHENKER PHD INC
Practice address
1000 N Hiatus Rd
Suite 101
Pembroke Pines, FL 33026-3097
Phone
(954) 547-3086
Fax
(954) 827-0711
NPI assigned
Feb 13, 2007
Last updated
Jun 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2008

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

Authorized official

Name
Dr. Michael A Schenker, PH.D.NPI 1437352010
Title
President
Phone
(954) 547-3086

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY5906 FL Primary

Addresses

Primary practice location

1000 N Hiatus Rd
Suite 101
Pembroke Pines, FL 33026-3097

Mailing address

402 NW 152ND LN
Pembroke Pines, FL 33028-1844
Phone (954) 547-3086

Other identifiers 2

IdentifierTypeStateIssuer
9413593OtherFLPHCS
302125OtherFLAVMED

National Provider Directory

National Provider Directory

Locations

1000 N Hiatus Rd
Ste 101
Pembroke Pines, FL 33026
Phone (954) 547-3086

10021 Pines Blvd
#C109
Pembroke Pines, FL 33024
Phone (954) 547-3086

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214697600000",
    "number": "1558403410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 NW 152ND LN",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281844",
            "telephone_number": "954-547-3086",
            "fax_number": "954-827-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N HIATUS RD",
            "address_2": "SUITE 101",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330263097",
            "telephone_number": "954-547-3086",
            "fax_number": "954-827-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL A. SCHENKER PHD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2008-06-29",
        "status": "A",
        "authorized_official_last_name": "SCHENKER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-547-3086",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY5906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "9413593",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "302125",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2008; 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.