Alzadah, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY3355 Issued in FL

Legal business name

ALZADAH, LLC

Practice address

17100 Royal Palm Blvd Ste 1
Weston, FL 33326-2308

Phone

(954) 217-2444

Fax

(954) 217-9292

NPI assigned

Apr 18, 2018

Last updated

Apr 18, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ricky A Harris, PSYD

Title

Ceo

Phone

(954) 217-2444

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1524009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524009600000",
    "number": "1760979454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17100 ROYAL PALM BLVD STE 1",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333262308",
            "telephone_number": "954-217-2444",
            "fax_number": "954-217-9292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17100 ROYAL PALM BLVD STE 1",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333262308",
            "telephone_number": "954-217-2444",
            "fax_number": "954-217-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALZADAH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-18",
        "last_updated": "2018-04-18",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "RICKY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-217-2444",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY3355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyne Alvarez, DMD
• Gabriel Alvarez, RBT
• Roger Argelio Alvarez, D.O., M.P.H.
• Tatiana Jacqueline Alvarez
• Rudolf Alviedo, DPT
• Daniel Amador
• Lucy Amaya
• Rosario Amaya
• Amazing Me ABA LLC
• American Therapy House Miami

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2018; 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.