Organization Active NPI

Ladonna Dahl,Psy.D., Inc.

  • Clinical Neuropsychologist
  • Boynton Beach, FL
National Provider Identifier
1609114701
Registry record updated Jan 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PY8020 Issued in FL
Legal business name
LADONNA DAHL,PSY.D., INC.
Practice address
1101 N Congress Ave
Suite 202
Boynton Beach, FL 33426-3336
Phone
(786) 512-9983
Fax
(561) 369-3275
NPI assigned
Jan 24, 2013
Last updated
Jan 24, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2013

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

Authorized official

Name
Miss Ladonna Dahl, PSY.D.NPI 1215252911
Title
President/Physician
Phone
(786) 512-9983

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PY8020 FL Primary

Addresses

Primary practice location

1101 N Congress Ave
Suite 202
Boynton Beach, FL 33426-3336

Mailing address

303 S Broadway
Suite 6
Lantana, FL 33462-3173
Phone (786) 512-9983

Other identifiers 1

IdentifierTypeStateIssuer
PY8020OtherFLMEDICAL LICENSE

National Provider Directory

National Provider Directory
Tax ID family
Ladonna Dahlpsyd Inc2 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.

Locations

1101 N Congress Ave
Ste 202
Boynton Beach, FL 33426
Phone (786) 512-9983

Practitioners & affiliated clinicians

Practitioners 3

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": "1358985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358985600000",
    "number": "1609114701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 S BROADWAY",
            "address_2": "SUITE 6",
            "city": "LANTANA",
            "state": "FL",
            "postal_code": "334623173",
            "telephone_number": "786-512-9983",
            "fax_number": "561-369-3275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 N CONGRESS AVE",
            "address_2": "SUITE 202",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334263336",
            "telephone_number": "786-512-9983",
            "fax_number": "561-369-3275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LADONNA DAHL,PSY.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-24",
        "last_updated": "2013-01-24",
        "status": "A",
        "authorized_official_last_name": "DAHL",
        "authorized_official_first_name": "LADONNA",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "786-512-9983",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY8020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "PY8020",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; 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.