Active NPI
Sophie Sutker, PSYD, HSPP
- Clinical Psychologist
- Hollywood, FL
National Provider Identifier
1699443887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 025306-01
- Practice address
- 4310 Sheridan St Ste 202
Hollywood, FL 33021-3554 - Phone
- (917) 310-5276
- NPI assigned
- Sep 1, 2021
- Last updated
- Jul 5, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 025306-01 | NY | Primary |
Addresses
Primary practice location
4310 Sheridan St Ste 202
Hollywood, FL 33021-3554
Mailing address
4310 Sheridan St Ste 202
Hollywood, FL 33021-3554
Phone (917) 310-5276
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
| License | State | Type | Specialty |
|---|---|---|---|
| 025306-01 | NY | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maria P. Hanzlik, LLC | Clinical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Integrated Psychological Center of Indiana (IPCI)
- Clinical Psychologist
- Indianapolis, IN
- NPI 1720574007
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688515200000",
"number": "1699443887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4310 SHERIDAN ST STE 202",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330213554",
"telephone_number": "917-310-5276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4310 SHERIDAN ST STE 202",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330213554",
"telephone_number": "917-310-5276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUTKER",
"first_name": "SOPHIE",
"credential": "PSYD, HSPP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-01",
"last_updated": "2023-07-05",
"certification_date": "2023-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "025306-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hollywood, FL
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.