Neuropsych Wellness LLC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Legal business name

NEUROPSYCH WELLNESS LLC

Practice address

110 E Broward Blvd Ste 1700
Fort Lauderdale, FL 33301-3500

Phone

(917) 626-6017

NPI assigned

Jul 12, 2022

Organization subpart

No

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

Authorized official

Name

Theodoros Tsaousides, PH.D.

Title

Neuropsychologist

Phone

(917) 626-6017

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Theodore Tsaousides, PHD

  • Psychologist
  • New York, NY
  • NPI 1629236781
  NPD

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

{
    "created_epoch": "1657584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657584000000",
    "number": "1740914159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E BROWARD BLVD STE 1700",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333013500",
            "telephone_number": "917-626-6017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E BROWARD BLVD STE 1700",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333013500",
            "telephone_number": "917-626-6017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROPSYCH WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-12",
        "last_updated": "2022-07-12",
        "certification_date": "2022-06-29",
        "status": "A",
        "authorized_official_last_name": "TSAOUSIDES",
        "authorized_official_first_name": "THEODOROS",
        "authorized_official_title_or_position": "NEUROPSYCHOLOGIST",
        "authorized_official_telephone_number": "917-626-6017",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "theo@dr-theo.com",
            "affiliation": "N",
            "address_1": "110 E Broward Blvd Ste 1700",
            "city": "Fort Lauderdale",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333013500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Julia Williams Neuls, D.D.S.
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• Neurointuition PLLC
• Neuroorthogroup, PA
• Neurospine Plus, LLC
• Laura H Neustater
• Krystina Nevin, PSYD
• New Beginnings Behavioral Health Center, Inc.
• New Beginnings of Quality Care LLC

• Clinical Neuropsychologist in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Clinical Neuropsychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; 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.