Sharone Shmuel David Kushnir, PSY. D., LP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY11384 Issued in FL

Practice address

1025 E Hallandale Beach Blvd Ste 15-719
Hallandale Beach, FL 33009-4478

Phone

(305) 676-4146

NPI assigned

Nov 10, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sharonekushnir@tdh.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Solrey Enterprises, PLLC

  • Psychologist
  • Hallandale Beach, FL
  • NPI 1497558944

  Mental Health

  NPD Authorized official
• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Mental Health

  NPD

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

{
    "created_epoch": "1447113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1629441894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 E HALLANDALE BEACH BLVD STE 15-719",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094478",
            "telephone_number": "310-709-4966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 E HALLANDALE BEACH BLVD STE 15-719",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094478",
            "telephone_number": "305-676-4146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUSHNIR",
        "first_name": "SHARONE",
        "middle_name": "SHMUEL DAVID",
        "name_prefix": "Dr.",
        "credential": "PSY. D., LP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-11-10",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY11384",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY11384",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": "FL",
            "license": "PY11384",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY11384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Wayne Koncsol, PH.D.
• Michal Koren
• Edward Allan Krinzman, M.D.
• KT's Assisted Living Inc
• Selin Kurlandski, BSC, MSC, PH.D.
• Angela Kutanjac
• L & M Medical Clinic LLC
• Paulette Lacroix, ARNP
• Rogelio Laffon Rizo
• Jackie Deon Lamons, LCSW

• Clinical Psychologist in Hallandale Beach, FL
• Providers in Hallandale Beach, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; 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.