Cary R Shookoff PHD Psychologist LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY 2924 Issued in FL

Legal business name

CARY R SHOOKOFF PHD PSYCHOLOGIST LLC

Practice address

1900 Purdy Ave Ste 2
Comm. Units G & G
Miami Beach, FL 33139-1409

Phone

(305) 674-0055

Fax

(305) 341-3935

NPI assigned

Mar 29, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Cary R Shookoff, PHDNPI 1093950750

Title

Director President Psychologist

Phone

(305) 674-0055

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cary Shookoff, PH.D.

  • Counseling Psychologist
  • Miami Beach, FL
  • NPI 1093950750
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261526400000",
    "number": "1679693121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 PURDY AVE STE 2",
            "address_2": "COMM. UNITS G & G",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331391409",
            "telephone_number": "305-674-0055",
            "fax_number": "305-341-3935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 PURDY AVE STE 2",
            "address_2": "COMM. UNITS G & G",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331391409",
            "telephone_number": "305-674-0055",
            "fax_number": "305-341-3935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARY R SHOOKOFF PHD PSYCHOLOGIST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2009-12-23",
        "status": "A",
        "authorized_official_last_name": "SHOOKOFF",
        "authorized_official_first_name": "CARY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DIRECTOR PRESIDENT PSYCHOLOGIST",
        "authorized_official_telephone_number": "305-674-0055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY 2924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX ID",
            "identifier": "59 2398787",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS - MEDICARE",
            "identifier": "73236",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dylan Thomas Carroll
• Adam Nicholas Carson, D.M.D.
• Chanta Jobara Carter, APRN
• Elizabeth Carter, ARNP
• Jessica Carvajal, L.AC
• German L Casal, M.D.
• Elena Casanova, D.M.D.
• Yura Casanova, LCSW
• Nicolas Emanuel Casarosa
• Hadley Case

• Psychologist in Miami Beach, FL
• Providers in Miami Beach, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.