Individual provider Active NPI

Michael S. Parish, PSY.D.

  • Psychologist
  • Fort Lauderdale, FL
National Provider Identifier
1801008693
Registry record updated Apr 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY6021 Issued in FL
Practice address
1421 SE 4TH Ave
Suite D
Fort Lauderdale, FL 33316-1900
Phone
(954) 524-5244
Fax
(954) 524-9444
NPI assigned
May 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY6021 FL Primary

Addresses

Primary practice location

1421 SE 4TH Ave
Suite D
Fort Lauderdale, FL 33316-1900

Mailing address

1421 SE 4TH Ave
Suite D
Fort Lauderdale, FL 33316-1900
Phone (954) 524-5244

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
I20080227000594 FL Practitioner - Clinical Psychologist 6901980051 Practice locations: Ft Lauderdale, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

514 SE 11 CT
Suite B
Ft Lauderdale, FL 33316-1900
Phone (954) 524-5244

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
DRS. Moorehead, Parish and Assoc., P.a. Past Accepting new patients

Networks

  • Freedom Health HMO Network

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": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208390400000",
    "number": "1801008693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 SE 4TH AVE",
            "address_2": "SUITE D",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333161900",
            "telephone_number": "954-524-5244",
            "fax_number": "954-524-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 SE 4TH AVE",
            "address_2": "SUITE D",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333161900",
            "telephone_number": "954-524-5244",
            "fax_number": "954-524-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARISH",
        "first_name": "MICHAEL",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-04",
        "last_updated": "2008-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY6021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.