Individual provider Active NPI

Adele Besner, PSY.D.

  • Psychologist
  • Fort Lauderdale, FL
National Provider Identifier
1841244498
Registry record updated Jun 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY0003561 Issued in FL
Practice address
915 Middle River Dr
Suite 204
Fort Lauderdale, FL 33304-3544
Phone
(954) 566-0388
Fax
(954) 561-8331
NPI assigned
May 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 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 PY0003561 FL Primary

Addresses

Primary practice location

915 Middle River Dr
Suite 204
Fort Lauderdale, FL 33304-3544

Mailing address

915 Middle River Dr
Suite 204
Fort Lauderdale, FL 33304-3544
Phone (954) 566-0388

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
I20101122000030 FL Practitioner - Clinical Psychologist 9436345170 Practice locations: Fort Lauderdale, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3471 N Federal Hwy
Suite 501
Fort Lauderdale, FL 33306-1051
Phone (954) 566-0388

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PY0003561FLMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Psycare Associates Past Accepting new patients

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212364800000",
    "number": "1841244498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 MIDDLE RIVER DR",
            "address_2": "SUITE 204",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333043544",
            "telephone_number": "954-566-0388",
            "fax_number": "954-561-8331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 MIDDLE RIVER DR",
            "address_2": "SUITE 204",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333043544",
            "telephone_number": "954-566-0388",
            "fax_number": "954-561-8331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BESNER",
        "first_name": "ADELE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2008-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY0003561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.