South Florida Psychology PA

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY4473 Issued in FL

Legal business name

SOUTH FLORIDA PSYCHOLOGY PA

Practice address

2200 S Ocean LN Apt 1209
Fort Lauderdale, FL 33316-3864

Phone

(561) 395-0243

Fax

(561) 423-0586

NPI assigned

Oct 13, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Christopher J. Fichera, PHDNPI 1023160777

Title

Psychologist

Phone

(561) 395-0243

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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.

• Christopher J Fichera, PHD

  • Psychologist
  • Boca Raton, FL
  • NPI 1023160777
  Medicare reassignment Authorized official
• Sharon M Theroux, PHD

  • Psychologist
  • Boca Raton, FL
  • NPI 1811049562
  NPD (past)
• Lauren Zimmerman Thomas, PSY.D.

  • Clinical Neuropsychologist
  • Miramar, FL
  • NPI 1417025719
  NPD (past)

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

{
    "created_epoch": "1255392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613088000000",
    "number": "1619202439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 533",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376050533",
            "telephone_number": "561-395-0243",
            "fax_number": "561-423-0586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 S OCEAN LN APT 1209",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333163864",
            "telephone_number": "561-395-0243",
            "fax_number": "561-423-0586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FLORIDA PSYCHOLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-13",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-12",
        "status": "A",
        "authorized_official_last_name": "FICHERA",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "561-395-0243",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY4473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2021; 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.