Individual provider Active NPI

Sherwood Roy Cantor, M.D.

  • Psychiatry Physician
  • Village of Palmetto Bay, FL
National Provider Identifier
1760446512
Registry record updated Feb 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME0017641 Issued in FL
Practice address
9275 SW 152ND St
Suite #105
Village of Palmetto Bay, FL 33157-1701
Phone
(305) 251-0449
Fax
(305) 255-6169
NPI assigned
Apr 17, 2006
Last updated
Feb 18, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME0017641 FL Primary

Addresses

Primary practice location

9275 SW 152ND St
Suite #105
Village of Palmetto Bay, FL 33157-1701

Mailing address

10344 SW 128TH Ter
Miami, FL 33176-5520
Phone (305) 251-0449

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0017641FLMDPsychiatry Physician

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424217600000",
    "number": "1760446512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10344 SW 128TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331765520",
            "telephone_number": "305-251-0449",
            "fax_number": "305-255-6169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9275 SW 152ND ST",
            "address_2": "SUITE #105",
            "city": "VILLAGE OF PALMETTO BAY",
            "state": "FL",
            "postal_code": "331571701",
            "telephone_number": "305-251-0449",
            "fax_number": "305-255-6169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTOR",
        "first_name": "SHERWOOD",
        "middle_name": "ROY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2015-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME0017641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Village of Palmetto Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2015; 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.