NPIMap

Organization Active NPI

Center for Psychological Wellness Inc

  • Psychologist
  • Coral Springs, FL
National Provider Identifier
1730124314
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
CENTER FOR PSYCHOLOGICAL WELLNESS INC
Practice address
5645 Coral Ridge Dr Suite 346
Coral Springs, FL 33065-3199
Phone
(954) 345-5644
Fax
(954) 345-5683
NPI assigned
Jun 18, 2006
Last updated
Jun 26, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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

Authorized official

Name
Ms. Laura Kaplan, LMHCNPI 1548297286
Title
President
Phone
(954) 345-5644

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
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

5645 Coral Ridge Dr Suite 346
Coral Springs, FL 33065-3199

Mailing address

5645 Coral Ridge Dr Suite 346
Coral Springs, FL 33076-3199
Phone (954) 345-5644

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041025000293 FL Part B Supplier - Clinic/Group Practice 1951362870 Receives reassigned benefits from 8 practitioners
Practice locations: Parkland, FL

National Provider Directory

National Provider Directory

Locations

11760 W Sample Rd
Ste 101
Coral Springs, FL 33065
Phone (954) 345-5644

7474 Wiles Rd
Coral Springs, FL 33067
Phone (954) 345-5644

Practitioners & affiliated clinicians

Practitioners 10

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": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687737600000",
    "number": "1730124314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5645 CORAL RIDGE DR SUITE 346",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330763199",
            "telephone_number": "954-345-5644",
            "fax_number": "954-345-5683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5645 CORAL RIDGE DR SUITE 346",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330653199",
            "telephone_number": "954-345-5644",
            "fax_number": "954-345-5683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR PSYCHOLOGICAL WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A",
        "authorized_official_last_name": "KAPLAN",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-345-5644",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; 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.