Individual provider Active NPI

Beth Hall, PH.D.

  • Clinical Psychologist
  • Fort Lauderdale, FL
National Provider Identifier
1659443612
Registry record updated Oct 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY0004560 Issued in FL
Practice address
6499 Powerline Rd
Suite 209
Fort Lauderdale, FL 33309-2069
Phone
(954) 772-6677
Fax
(954) 772-6711
NPI assigned
Nov 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY0004560 FL Primary

Addresses

Primary practice location

6499 Powerline Rd
Suite 209
Fort Lauderdale, FL 33309-2069

Mailing address

6499 Powerline Rd
Suite 209
Fort Lauderdale, FL 33309-2069
Phone (954) 772-6677

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120705000413 FL Practitioner - Clinical Psychologist 3779747969 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

9900 W Sample Rd
Suite 300
Coral Springs, FL 33065-4077

9900 W Sample Rd
Suite 338
Coral Springs, FL 33065-4048
Phone (954) 772-6677

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY0004560FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Beth Hershkowitz Hall, PH.D., P.a. Clinical CurrentSince Aug 25, 1991 Accepting new patients

Locations

9900 W Sample Rd
Ste 300
Coral Springs, FL 33065
Phone (561) 765-5179

9900 W Sample Rd
Ste 338
Coral Springs, FL 33065
Phone (954) 543-1913

6499 Powerline Rd
Ste 209
Ft Lauderdale, FL 33309
Phone (954) 229-2626

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318291200000",
    "number": "1659443612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6499 POWERLINE RD",
            "address_2": "SUITE 209",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333092069",
            "telephone_number": "954-772-6677",
            "fax_number": "954-772-6711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6499 POWERLINE RD",
            "address_2": "SUITE 209",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333092069",
            "telephone_number": "954-772-6677",
            "fax_number": "954-772-6711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "BETH",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2011-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY0004560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.