Individual provider Active NPI

Brian R. Becraft, PSY.D.

  • Clinical Psychologist
  • Hollywood, FL
National Provider Identifier
1689122160
Registry record updated Sep 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY 9662 Issued in FL
Practice address
450 N Park Rd Ste 400
Hollywood, FL 33021-6918
Phone
(954) 925-3191
NPI assigned
Sep 14, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2016

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 PY 9662 FL Primary

Addresses

Primary practice location

450 N Park Rd Ste 400
Hollywood, FL 33021-6918

Mailing address

16632 NW 23Rd St
Apt. 14-104
Pembroke Pines, FL 33028-1890
Phone (954) 616-7804

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
I20200915002018 FL Practitioner - Clinical Psychologist 6002234556 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inpsych Consultants, P.a.Group PAC ID 6608991443, 7 clinicians

Practice addresses (Care Compare)

2741 Executive Park Dr
Suite 1
Weston, FL 33331-3641
Phone 9543856750204

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PY 9662FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Inpsych Consultants, P.a. Clinical CurrentSince Sep 15, 2020 Accepting new patients
Dr. Michelle Channing PA Clinical CurrentSince Sep 15, 2020 Accepting new patients
Cadenza Center for Psychotherapy & the Arts, Inc. Clinical Past Accepting new patients

Locations

2741 Executive Park Dr
Ste 1
Weston, FL 33331
Phone (954) 385-6750

Organizations & group practices 3

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": "1473811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473811200000",
    "number": "1689122160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16632 NW 23RD ST",
            "address_2": "APT. 14-104",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281890",
            "telephone_number": "954-616-7804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 N PARK RD STE 400",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216918",
            "telephone_number": "954-925-3191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECRAFT",
        "first_name": "BRIAN",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-14",
        "last_updated": "2016-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY 9662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.