Embracepsych, Inc

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

ARNP9292051 Issued in FL

Legal business name

EMBRACEPSYCH, INC

Practice address

10733 Oceano Way
Parkland, FL 33076-3923

Phone

(305) 336-1602

NPI assigned

Nov 14, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Allison Slack, PMHNPNPI 1982024030

Title

Sole Proprietor

Phone

(305) 336-1602

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Networks

• HealthSun Health Plans Network

Practitioners 2

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

• Allison Slack

  • Adult Psychiatric/Mental Health Registered Nurse
  • Parkland, FL
  • NPI 1982024030
  Medicare reassignment NPD Authorized official
• Sam J Sugar, MD

  • Internal Medicine Physician
  • Ft Lauderdale, FL
  • NPI 1346354529
  NPD (past)

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

{
    "created_epoch": "1415923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724025600000",
    "number": "1821494089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3016 NW 30TH TER",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333118495",
            "telephone_number": "954-851-9690",
            "fax_number": "954-851-9688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10733 OCEANO WAY",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330763923",
            "telephone_number": "305-336-1602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBRACEPSYCH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-14",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A",
        "authorized_official_last_name": "SLACK",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "305-336-1602",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "ARNP9292051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Antoinette Dyke-Hill, MS-CCC-SLP
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• Caroline Eller, PHARM.D.
• Cheryl Emanuel, FNP
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• Evolution Kids Behavior Therapy Corp
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• Michael James Ewing, PHARMD, CPH

• Psychiatric/Mental Health Nurse Practitioner in Parkland, FL
• Providers in Parkland, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; 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.