Individual provider Active NPI

David Lawrence Krasky, PSY.S.

  • School Psychologist
  • Davie, FL
National Provider Identifier
1760780431
Registry record updated Apr 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
SS 989 Issued in FL
Practice address
12401 Orange Dr Ste 224
Davie, FL 33330-4343
Phone
(954) 385-4696
Fax
(954) 385-8385
NPI assigned
Mar 4, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101Y00000X SS989 FL
School Psychologist 103TS0200X SS 989 FL Primary

Addresses

Primary practice location

12401 Orange Dr Ste 224
Davie, FL 33330-4343

Mailing address

341 El Dorado Pkwy
Plantation, FL 33317-3217
Phone (954) 579-6949

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SS989FLMDCounselor
SS 989FLMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Educational & Psychological Services Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1299196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585699200000",
    "number": "1760780431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 EL DORADO PKWY",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333173217",
            "telephone_number": "954-579-6949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12401 ORANGE DR STE 224",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333304343",
            "telephone_number": "954-385-4696",
            "fax_number": "954-385-8385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRASKY",
        "first_name": "DAVID",
        "middle_name": "LAWRENCE",
        "name_prefix": "Mr.",
        "credential": "PSY.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-04",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "FL",
            "license": "SS989",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "FL",
            "license": "SS 989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2020; 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.