Individual provider Active NPI

Cheri Gay Surloff, PHD.,PSYD

  • Clinical Neuropsychologist
  • Hallandale Beach, FL
National Provider Identifier
1770507121
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PY5918 Issued in FL
Practice address
501 Palm Dr
Hallandale Beach, FL 33009-6533
Phone
(954) 456-7429
Fax
(954) 456-0949
NPI assigned
Jul 27, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PY5918 FL Primary

Addresses

Primary practice location

501 Palm Dr
Hallandale Beach, FL 33009-6533

Mailing address

501 Palm Dr
Hallandale Beach, FL 33009-6533
Phone (954) 456-7429

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20090303000226 FL Practitioner - Clinical Psychologist 9436215217 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

17251 NE 19TH Ave
North Miami Beach, FL 33162-2209
Phone (305) 948-8444

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PY5918FLMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cheri Surloff PH D Psy D PA Clinical Neuropsychologist CurrentSince Jan 27, 2009 Accepting new patients
Sunshine Wellness, Inc. PastSince Jan 27, 2009 Accepting new patients

Locations

17251 NE 19th Ave
North Miami Beach, FL 33162
Phone (305) 944-4525

Networks

  • HealthSun Health Plans Network

Organizations & group practices 2

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1770507121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 PALM DR",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330096533",
            "telephone_number": "954-456-7429",
            "fax_number": "954-456-0949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 PALM DR",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330096533",
            "telephone_number": "954-456-7429",
            "fax_number": "954-456-0949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURLOFF",
        "first_name": "CHERI",
        "middle_name": "GAY",
        "name_prefix": "Dr.",
        "credential": "PHD.,PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY5918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hallandale Beach, FL

Sources for this page

Verify at the official NPI Registry.