Organization Active NPI

Peaceful Prana Therapy, LLC

  • Clinical Social Worker
  • Plantation, FL
National Provider Identifier
1568927705
Registry record updated Jan 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
PEACEFUL PRANA THERAPY, LLC
Practice address
2300 E Oakland PK Blvd
Ste 206
Plantation, FL 33306
Phone
(954) 715-6050
Fax
(866) 757-5778
NPI assigned
Feb 1, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2020

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

Authorized official

Name
Elizabeth P Sumpf, LCSW
Title
Owner
Phone
(954) 715-6050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

2300 E Oakland PK Blvd
Ste 206
Plantation, FL 33306

Mailing address

4737 N Ocean Dr # 184
Lauderdale by the Sea, FL 33308-2920
Phone (954) 715-6050

National Provider Directory

National Provider Directory

Locations

2300 E Oakland Park Blvd
Ste 206
Ft Lauderdale, FL 33306
Phone (954) 294-7036

4737 N Ocean Dr
#184
Lauderdale by the Sea, FL 33308

4737 N Ocean Dr
Ste 184
Lauderdale by the Sea, FL 33308

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1548979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579305600000",
    "number": "1568927705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4737 N OCEAN DR # 184",
            "city": "LAUDERDALE BY THE SEA",
            "state": "FL",
            "postal_code": "333082920",
            "telephone_number": "954-715-6050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 E OAKLAND PK BLVD",
            "address_2": "STE 206",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "33306",
            "telephone_number": "954-715-6050",
            "fax_number": "866-757-5778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEFUL PRANA THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-01",
        "last_updated": "2020-01-18",
        "certification_date": "2020-01-18",
        "status": "A",
        "authorized_official_last_name": "SUMPF",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-715-6050",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "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 Jan 18, 2020; 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.