Susan B Flax, PSY. S.

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

SS1421 Issued in FL

Practice address

5551 N University Dr Ste 202
Coral Springs, FL 33067-4651

Phone

(954) 755-2885

Fax

(954) 344-6007

NPI assigned

Jan 10, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1547078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547078400000",
    "number": "1659844751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2551 NW 105TH TER",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330653706",
            "telephone_number": "954-288-2461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5551 N UNIVERSITY DR STE 202",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330674651",
            "telephone_number": "954-755-2885",
            "fax_number": "954-344-6007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLAX",
        "first_name": "SUSAN",
        "middle_name": "B",
        "credential": "PSY. S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-10",
        "last_updated": "2019-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "FL",
            "license": "SS1421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Danielle Fitzgerald
• Five Star Coral Springs LLC
• Steven Michael Flamenbaum
• Michael David Flax, D.D.S.
• Peter M. Flax, D.C.
• Marsha Flood, LHMC
• Adrienne Marie Florczyk, O.D.
• Stephanie Paola Flores Fernandez, NP
• Christine Flores
• Divine Norjelinn Dabu Flores, RN

• School Psychologist in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• School Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2019; 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.