Organization Active NPI

Psychological Healing Solutions

  • Psychologist
  • Fort Lauderdale, FL
National Provider Identifier
1700423373
Registry record updated Dec 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
PSYCHOLOGICAL HEALING SOLUTIONS
Practice address
2699 Stirling Rd Ste C304
Fort Lauderdale, FL 33312-6592
Phone
(754) 444-1950
NPI assigned
Dec 3, 2019
Last updated
Dec 3, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2019

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

Authorized official

Name
Dr. Sigal Levy, PH.DNPI 1144619289
Title
Authorized Official/Provider
Phone
(954) 612-1456

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

Primary practice location

2699 Stirling Rd Ste C304
Fort Lauderdale, FL 33312-6592

Mailing address

10761 NW 14TH St Apt 282
Plantation, FL 33322-6950
Phone (954) 612-1456

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200213001065 FL Part B Supplier - Clinic/Group Practice 9436585338 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Lauderdale, FL

National Provider Directory

National Provider Directory

Locations

2699 Stirling Rd
Ste C304
Ft Lauderdale, FL 33312
Phone (754) 444-1950

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1575331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575331200000",
    "number": "1700423373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10761 NW 14TH ST APT 282",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333226950",
            "telephone_number": "954-612-1456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2699 STIRLING RD STE C304",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333126592",
            "telephone_number": "754-444-1950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL HEALING SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-03",
        "last_updated": "2019-12-03",
        "status": "A",
        "authorized_official_last_name": "LEVY",
        "authorized_official_first_name": "SIGAL",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL/PROVIDER",
        "authorized_official_telephone_number": "954-612-1456",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "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 Dec 3, 2019; 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.