Mehlman PA Psychological Services

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW6114 Issued in FL

Legal business name

MEHLMAN PA PSYCHOLOGICAL SERVICES

Practice address

2883 Executive Park Dr
102
Weston, FL 33331-3662

Phone

(954) 384-1117

Fax

(954) 384-1163

NPI assigned

Mar 5, 2013

Last updated

Mar 5, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Deena L Mehlman, LCSW

Title

President

Phone

(954) 384-1117

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1362441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362441600000",
    "number": "1629319421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2883 EXECUTIVE PARK DR",
            "address_2": "102",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313662",
            "telephone_number": "954-384-1117",
            "fax_number": "954-384-1163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2883 EXECUTIVE PARK DR",
            "address_2": "102",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313662",
            "telephone_number": "954-384-1117",
            "fax_number": "954-384-1163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEHLMAN PA PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-05",
        "last_updated": "2013-03-05",
        "status": "A",
        "authorized_official_last_name": "MEHLMAN",
        "authorized_official_first_name": "DEENA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-384-1117",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW6114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Urvi Mehta, PTA
• Mejia Physical Therapy and Wellness, LLC

• Clinical Social Worker in Weston, FL
• Providers in Weston, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.