Lighthouse Psychologists LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY7141 Issued in FL

Legal business name

LIGHTHOUSE PSYCHOLOGISTS LLC

Practice address

2450 Hollywood Blvd
Suite 200a
Hollywood, FL 33020-6619

Phone

(954) 667-7176

NPI assigned

Apr 17, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Patricia Jaegerman, PSY.D.NPI 1316272677

Title

Owner

Phone

(954) 667-7176

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Tax ID family

Lighthouse Psychologists LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Patricia Jaegerman, Psy.D.

  • Psychologist
  • Hollywood, FL
  • NPI 1861803363
  NPD tax ID

Locations

Practitioners 1

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

• Patricia Jaegerman, PSY.D.

  • Clinical Psychologist
  • Hollywood, FL
  • NPI 1316272677
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1334620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458518400000",
    "number": "1598022451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 HOLLYWOOD BLVD",
            "address_2": "SUITE 200A",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330206619",
            "telephone_number": "954-667-7176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 HOLLYWOOD BLVD",
            "address_2": "SUITE 200A",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330206619",
            "telephone_number": "954-667-7176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE PSYCHOLOGISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-17",
        "last_updated": "2016-03-21",
        "status": "A",
        "authorized_official_last_name": "JAEGERMAN",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-667-7176",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY7141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lifestyle Living LLC (Lifestyle Living #2)
• Lifeworks Therapies, LLC (The Family Room Wellness Associates)
• Claudia P. Lifland, LCSW, LMFT
• Leah Karen Light, AU.D.
• Lighthouse Pilates & Physical Therapy, LLC
• Liliana Marcu Awan, MD, PA
• Marie Lim
• Tatiane Marconcini Lima, OTR
• Limitless Theraputics
• Geydis Linares Valera

• Clinical Psychologist in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.