Individual provider Active NPI

Judith Merenfeld de Moscu, PHD

  • Marriage & Family Therapist
  • Hallandale Beach, FL
National Provider Identifier
1669600334
Registry record updated Sep 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MT2212 Issued in FL
Practice address
1180 E Hallandale Beach Blvd
Suit 1180B
Hallandale Beach, FL 33009-4436
Phone
(786) 277-0291
NPI assigned
Jul 1, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MT2212 FL Primary

Addresses

Primary practice location

1180 E Hallandale Beach Blvd
Suit 1180B
Hallandale Beach, FL 33009-4436

Mailing address

3802 NE 207TH St Apt 2701
Aventura, FL 33180-3855
Phone (786) 277-0291

Other names 1

  • Dr. Judith Merenfeld de Moscu Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MT2212FLMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442448000000",
    "number": "1669600334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3802 NE 207TH ST APT 2701",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331803855",
            "telephone_number": "786-277-0291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 E HALLANDALE BEACH BLVD",
            "address_2": "SUIT 1180B",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094436",
            "telephone_number": "786-277-0291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERENFELD DE MOSCU",
        "first_name": "JUDITH",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-01",
        "last_updated": "2015-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT2212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUDITH",
            "last_name": "MERENFELD DE MOSCU",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hallandale Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2015; 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.