Individual provider Active NPI

Dagmar Tamara Bielek, PH.D.

  • Clinical Psychologist
  • Weston, FL
National Provider Identifier
1558414565
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY 6050 Issued in FL
Practice address
1431 Capri LN
Apt. 5209
Weston, FL 33326-4010
Phone
(954) 349-3892
Fax
(954) 349-3892
NPI assigned
Jan 21, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY 6050 FL Primary

Addresses

Primary practice location

1431 Capri LN
Apt. 5209
Weston, FL 33326-4010

Mailing address

1431 Capri LN
Apt. 5209
Weston, FL 33326-4010
Phone (954) 349-3892

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY 6050FLMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1169337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558414565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 CAPRI LN",
            "address_2": "APT. 5209",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333264010",
            "telephone_number": "954-349-3892",
            "fax_number": "954-349-3892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 CAPRI LN",
            "address_2": "APT. 5209",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333264010",
            "telephone_number": "954-349-3892",
            "fax_number": "954-349-3892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIELEK",
        "first_name": "DAGMAR",
        "middle_name": "TAMARA",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY 6050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.