Millennium Wellness Center

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY 8220 Issued in FL

Legal business name

MILLENNIUM WELLNESS CENTER

Practice address

110 N Federal Hwy
104
Hallandale Beach, FL 33009-4300

Phone

(305) 417-0006

NPI assigned

Nov 3, 2016

Organization subpart

No

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

Authorized official

Name

Zhanna Zitsbank, PA-C

Title

Member

Phone

(305) 417-0006

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1478131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478131200000",
    "number": "1730631037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 N FEDERAL HWY",
            "address_2": "104",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094300",
            "telephone_number": "305-417-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N FEDERAL HWY",
            "address_2": "104",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094300",
            "telephone_number": "305-417-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENNIUM WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-03",
        "last_updated": "2016-11-03",
        "status": "A",
        "authorized_official_last_name": "ZITSBANK",
        "authorized_official_first_name": "ZHANNA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "305-417-0006",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY 8220",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA 9104275",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Hallandale Beach, FL
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• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2016; 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.