Marla Sriskand, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

SW8803 Issued in FL

Practice address

950 N Federal Hwy
Pompano Beach, FL 33062-4315

Phone

(954) 533-7705

Fax

(954) 781-7191

NPI assigned

Jul 16, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Banyan Treatment and Recovery, LLC

  • Substance Abuse Rehabilitation Facility
  • Pompano Beach, FL
  • NPI 1598192460
  NPD
• Henderson Behavioral Health, Inc.

  • Family Medicine Physician
  • Ft Lauderdale, FL
  • NPI 1053262709
  NPD (past)

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

{
    "created_epoch": "1342396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576540800000",
    "number": "1710232756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12700 NW 8TH CT",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330714409",
            "telephone_number": "954-632-1203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 N FEDERAL HWY",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330624315",
            "telephone_number": "954-533-7705",
            "fax_number": "954-781-7191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SRISKAND",
        "first_name": "MARLA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-16",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 8803",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "SW8803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spinal Chiropractic Inc
• Colleen Hambrook Spitzig, D.M.D.
• Spraig Medical Supplies LLC
• Spring Health Inc
• Rebecca Crosse Squire
• Victoria Jenny St Fleur
• Zana St Jean
• Chemika St Juste Phanord
• Stabilife
• Brett Staller, M.D.

• Mental Health Counselor in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.