Active NPI
Paulette Gopman Perlowin, ARNP
- Psychiatric/Mental Health Nurse Practitioner
- Hollywood, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- ARNP 2053552
- Practice address
- 3400 N 29TH Ave
Hollywood, FL 33020 - Phone
- (954) 276-3404
- Fax
- (954) 965-6444
- NPI assigned
- Dec 12, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | ARNP 2053552 | FL | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | ARNP 2053552 | FL | Primary |
Addresses
Primary practice location
3400 N 29TH Ave
Hollywood, FL 33020
Mailing address
2900 Corporate Way
Door D
Miramar, FL 33025-3925
Phone (954) 276-5685
Other practice location 1
4291 NW 1st Dr
Deerfield Beach, FL 33442-9245
Phone (954) 471-2801
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070828000024 | FL | Practitioner - Nurse Practitioner | 5193817757 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Chrysalis Center, Inc.
Practice addresses (Care Compare)
3800 W Broward Blvd
Suite 100
Fort Lauderdale, FL 33312-1018
Phone (954) 587-1008
4291 NW 1St Dr
Deerfield Beach, FL 33442-9245
Phone (954) 471-2801
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP 2053552 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Broward Hospital District | Current | Accepting new patients | |
| Chrysalis Center, LLC | Current | Accepting new patients | |
| South Broward Hospital District | Current | Accepting new patients | |
| South Broward Hospital District | Current | Accepting new patients | |
| Chrysalis Center Inc | Past | Accepting new patients | |
| Chrysalis Center, LLC | Past | Accepting new patients |
Locations
3800 W Broward Blvd
Ste 100
Ft Lauderdale, FL 33312
3400 N 29th Ave
Hollywood, FL 33020
Phone (954) 276-3400
2900 Corporate Way
#D
Miramar, FL 33025
Phone (954) 276-5581
3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000
Organizations & group practices 7
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Deerfield Beach, FL
- NPI 1780337329
FL
-
- Critical Care Medicine (Internal Medicine) Physician
- Hollywood, FL
- NPI 1609884154
FL
-
- Home Infusion Therapy Pharmacy
- Miramar, FL
- NPI 1043656614
-
- Surgical Physician Assistant
- Hollywood, FL
- NPI 1285641209
-
- Community/Behavioral Health Agency
- Lauderhill, FL
- NPI 1174838262
-
- Community/Behavioral Health Agency
- Panama City, FL
- NPI 1598549461
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530230400000",
"number": "1639230899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 CORPORATE WAY",
"address_2": "DOOR D",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330253925",
"telephone_number": "954-276-5685",
"fax_number": "954-985-7074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 N 29TH AVE",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "33020",
"telephone_number": "954-276-3404",
"fax_number": "954-965-6444"
}
],
"practiceLocations": [
{
"address_1": "4291 NW 1st Dr",
"address_purpose": "LOCATION",
"city": "Deerfield Beach",
"state": "FL",
"postal_code": "334429245",
"country_code": "US",
"telephone_number": "954-471-2801",
"fax_number": "954-531-1708",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PERLOWIN",
"first_name": "PAULETTE",
"middle_name": "GOPMAN",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-12",
"last_updated": "2018-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "ARNP 2053552",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "ARNP 2053552",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.