Individualized Psychological Resources, Inc.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY7215 Issued in FL

Legal business name

INDIVIDUALIZED PSYCHOLOGICAL RESOURCES, INC.

Practice address

915 Middle River Dr Ste 307
Fort Lauderdale, FL 33304-3560

Phone

(954) 632-7260

NPI assigned

Aug 26, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Kity D. Laboriel, PSY.D.NPI 1386874980

Title

Clinical Psychologist

Phone

(954) 964-2925

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Networks

• HealthSun Health Plans Network

Practitioners 1

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

• Kity Dinorah Laboriel, PSY.D.

  • Clinical Psychologist
  • Pembroke Pines, FL
  • NPI 1386874980
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1251244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251244800000",
    "number": "1780817627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7476 NW 18TH DR",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330241008",
            "telephone_number": "954-964-2925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 MIDDLE RIVER DR STE 307",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333043560",
            "telephone_number": "954-632-7260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIVIDUALIZED PSYCHOLOGICAL RESOURCES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-26",
        "last_updated": "2009-08-26",
        "status": "A",
        "authorized_official_last_name": "LABORIEL",
        "authorized_official_first_name": "KITY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "954-964-2925",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY7215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.