Elizabeth Sabrina Ibanez, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY7792 Issued in FL

Practice address

2883 Executive Park Dr
Suite 103 F
Weston, FL 33331-3662

Phone

(305) 494-6866

NPI assigned

Oct 21, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Samaritan Counseling Services of the Gulf Coast IncGroup PAC ID 1456314343, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Samaritan Counseling Services of the Gulf Coast Inc

  • Mental Health Counselor
  • Sarasota, FL
  • NPI 1619993011
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325808000000",
    "number": "1740432756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2883 EXECUTIVE PARK DR",
            "address_2": "SUITE 103 F",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313662",
            "telephone_number": "305-494-6866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2883 EXECUTIVE PARK DR",
            "address_2": "SUITE 103 F",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313662",
            "telephone_number": "305-494-6866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBANEZ",
        "first_name": "ELIZABETH",
        "middle_name": "SABRINA",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2012-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY7792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric A Hurtado, MD
• Maria Adelaida Hurtado, D.M.D
• Huan Huynh, MD
• I Love to Care, LLC.
• Estela M Ibanez Mostajo, BCBA
• Rula M Ibraheem, MD
• Ice Pulmonary Network LLC
• Emily Kathryn Ince
• Indian Trace Dental Associates,P.a. (Indian Trace Dental)
• Seth Infante

• Psychologist in Weston, FL
• Providers in Weston, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.