NPIMap

Organization Active NPI

Preferred Educational & Psychological Services, Inc

  • Clinical Psychologist
  • Fort Lauderdale, FL
National Provider Identifier
1710283957
Registry record updated Jun 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY 7765 Issued in FL
Legal business name
PREFERRED EDUCATIONAL & PSYCHOLOGICAL SERVICES, INC
Practice address
610 SW 34TH St
Suite 301
Fort Lauderdale, FL 33315-3623
Phone
(786) 236-7795
NPI assigned
Feb 6, 2011
Last updated
Jun 13, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2011

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

Authorized official

Name
Dr. Elise Spina Taylor, PSYDNPI 1275839417
Title
President
Phone
(786) 236-7795

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY 7765 FL Primary

Addresses

Primary practice location

610 SW 34TH St
Suite 301
Fort Lauderdale, FL 33315-3623

Mailing address

610 SW 34TH St
Suite 301
Fort Lauderdale, FL 33315-3623
Phone (786) 236-7795

National Provider Directory

National Provider Directory

Locations

610 SW 34th St
Ste 301
Ft Lauderdale, FL 33315
Phone (786) 236-7795

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": "1296950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307923200000",
    "number": "1710283957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 SW 34TH ST",
            "address_2": "SUITE 301",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333153623",
            "telephone_number": "786-236-7795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 SW 34TH ST",
            "address_2": "SUITE 301",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333153623",
            "telephone_number": "786-236-7795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED EDUCATIONAL & PSYCHOLOGICAL SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-06",
        "last_updated": "2011-06-13",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "ELISE",
        "authorized_official_middle_name": "SPINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-236-7795",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY 7765",
            "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 Jun 13, 2011; 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.