Organization Active NPI

Broward Stress Management Counseling Center

  • Clinical Psychologist
  • Coral Springs, FL
National Provider Identifier
1841345089
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY0004786 Issued in FL
Legal business name
BROWARD STRESS MANAGEMENT COUNSELING CENTER
Practice address
2901 Coral Hills Drive
340
Coral Springs, FL 33065
Phone
(954) 752-2700
Fax
(954) 752-7745
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Christopher Woodman, PH.D.
Title
Treasurer
Phone
(954) 752-2700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PY0004786 FL Primary

Addresses

Primary practice location

2901 Coral Hills Drive
340
Coral Springs, FL 33065

Mailing address

2901 Coral Hills Drive
340
Coral Springs, FL 33065
Phone (954) 752-2700

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841345089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 CORAL HILLS DRIVE",
            "address_2": "340",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "33065",
            "telephone_number": "954-752-2700",
            "fax_number": "954-752-7745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 CORAL HILLS DRIVE",
            "address_2": "340",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "33065",
            "telephone_number": "954-752-2700",
            "fax_number": "954-752-7745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWARD STRESS MANAGEMENT COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WOODMAN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "954-752-2700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY0004786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.