Individual provider Active NPI

Annjannette Sas-Galvez, PSY.D., L.M.H.C.

  • Mental Health Counselor
  • Fort Lauderdale, FL
National Provider Identifier
1669602736
Registry record updated Jul 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH9134 Issued in FL
Practice address
3521 W Broward Blvd
3Rd Floor
Fort Lauderdale, FL 33312-1048
Phone
(954) 587-1008
Fax
(954) 587-0080
NPI assigned
Jul 22, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH9134 FL Primary

Addresses

Primary practice location

3521 W Broward Blvd
3Rd Floor
Fort Lauderdale, FL 33312-1048

Mailing address

18915 NW 10TH St
Pembroke Pines, FL 33029-2926
Phone (954) 536-6184

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH9134FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1248220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248220800000",
    "number": "1669602736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18915 NW 10TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330292926",
            "telephone_number": "954-536-6184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3521 W BROWARD BLVD",
            "address_2": "3RD FLOOR",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333121048",
            "telephone_number": "954-587-1008",
            "fax_number": "954-587-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAS-GALVEZ",
        "first_name": "ANNJANNETTE",
        "name_prefix": "Dr.",
        "credential": "PSY.D., L.M.H.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-22",
        "last_updated": "2009-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH9134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 22, 2009; 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.