NPIMap

Organization Active NPI

Dr. Royce Jalazo, P.a.

Doing business as Dynamic Behavioral Consulting

  • Clinical Psychologist
  • Fort Lauderdale, FL
National Provider Identifier
1639496664
Registry record updated Nov 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY7671 Issued in FL
Legal business name
DR. ROYCE JALAZO, P.A.
Doing business as
Dynamic Behavioral Consulting
Practice address
1975 E Sunrise Blvd
Suite 532
Ft Lauderdale, FL 33304-1433
Phone
(954) 232-7092
Fax
(954) 208-3400
NPI assigned
Apr 30, 2010
Last updated
Nov 18, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2016

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

Authorized official

Name
Dr. Royce N Jalazo, PSY.D.NPI 1093986416
Title
President
Phone
(954) 232-7092

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY7671 FL Primary

Addresses

Primary practice location

1975 E Sunrise Blvd
Suite 532
Ft Lauderdale, FL 33304-1433

Mailing address

1975 E Sunrise Blvd
Suite 532
Ft Lauderdale, FL 33304-1433
Phone (954) 232-7092

Other names 1

  • Dynamic Behavioral Consulting Doing business as

National Provider Directory

National Provider Directory

Locations

1975 E Sunrise Blvd
Ste 533
Ft Lauderdale, FL 33304
Phone (954) 232-7092

Practitioners & affiliated clinicians

Practitioners 2

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": "1272585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479427200000",
    "number": "1639496664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1975 E SUNRISE BLVD",
            "address_2": "SUITE 532",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333041433",
            "telephone_number": "954-232-7092",
            "fax_number": "954-208-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 E SUNRISE BLVD",
            "address_2": "SUITE 532",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333041433",
            "telephone_number": "954-232-7092",
            "fax_number": "954-208-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ROYCE JALAZO, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-30",
        "last_updated": "2016-11-18",
        "status": "A",
        "authorized_official_last_name": "JALAZO",
        "authorized_official_first_name": "ROYCE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-232-7092",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY7671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dynamic Behavioral Consulting",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2016; 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.