Hollywood Psychology Center Inc.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY7707 Issued in FL

Legal business name

HOLLYWOOD PSYCHOLOGY CENTER INC.

Practice address

3595 Sheridan St
#103
Hollywood, FL 33021-3657

Phone

(954) 981-8200

NPI assigned

Jun 7, 2007

Last updated

Oct 2, 2014By 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

Dr. Andrew S Gast, PSY.D.NPI 1942475090

Title

Director

Phone

(954) 981-8200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andrew Steven Gast, PSYD

  • Clinical Psychologist
  • Hollywood, FL
  • NPI 1942475090
  Medicare reassignment NPD Authorized official
• Acralys Diaz-Gonzalez, L.M.H.C

  • Mental Health Counselor
  • Hollywood, FL
  • NPI 1922348796
  NPD (past)
• Bridget Moreno, MSW

  • Social Worker
  • Hollywood, FL
  • NPI 1548692163
  NPD (past)
• Muriel Manasse Scher, EDD

  • Psychologist
  • Boca Raton, FL
  • NPI 1720192321
  NPD (past)

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412208000000",
    "number": "1811190978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3595 SHERIDAN ST",
            "address_2": "#103",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213657",
            "telephone_number": "954-981-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3595 SHERIDAN ST",
            "address_2": "#103",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213657",
            "telephone_number": "954-981-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLYWOOD PSYCHOLOGY CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2014-10-02",
        "status": "A",
        "authorized_official_last_name": "GAST",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "954-981-8200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY7707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; 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.