Melissa Ann Kwavnick, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY7648 Issued in FL

Practice address

2741 Executive Park Dr Ste 1
Weston, FL 33331-3641

Phone

(954) 385-6750

NPI assigned

Sep 17, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Psychologist

Education

Other, 2005

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)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Inpsych Consultants, P.a.

  • Clinical Psychologist
  • Weston, FL
  • NPI 1952629933
  Medicare reassignment Care Compare group NPD
• Dr. Michelle Channing PA

  • Clinical Psychologist
  • Weston, FL
  • NPI 1417037102
  NPD

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

{
    "created_epoch": "1631836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1699445957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10631 PARIS ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330264822",
            "telephone_number": "954-465-0372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2741 EXECUTIVE PARK DR STE 1",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313641",
            "telephone_number": "954-385-6750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWAVNICK",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-17",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY7648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jensy John Kurien
• Seena Sara Kuruvilla, D.P.T.
• Jiro Kusakabe, M.D.
• Karri Marie Kutach Sigaud, MA, CCC-SLP
• Erik Kuyn, MD
• Donghyang Kwon, M.D.
• Patricia A Labella, CCC-SLP
• Adria Amy Labiner, LCSW
• Sirena Jody Labitzke, RN
• Deborah Labrada

• Psychologist in Weston, FL
• Providers in Weston, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.