Organization Active NPI

Dimitra Theoharis PSYD LMHC PA

  • Mental Health Counselor
  • Pompano Beach, FL
National Provider Identifier
1841612496
Registry record updated Jan 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
DIMITRA THEOHARIS PSYD LMHC PA
Practice address
150 E Sample Rd
Suite 340
Pompano Beach, FL 33064-3550
Phone
(954) 783-0035
Fax
(954) 943-2771
NPI assigned
Jan 16, 2014
Last updated
Jan 16, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2014

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

Authorized official

Name
Dr. Dimitra Theoharis, PSYD, LMHCNPI 1528085461
Title
President
Phone
(954) 783-0035

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

150 E Sample Rd
Suite 340
Pompano Beach, FL 33064-3550

Mailing address

150 E Sample Rd
Suite 340
Pompano Beach, FL 33064-3550
Phone (954) 783-0035

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1389830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389830400000",
    "number": "1841612496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 E SAMPLE RD",
            "address_2": "SUITE 340",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330643550",
            "telephone_number": "954-783-0035",
            "fax_number": "954-943-2771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E SAMPLE RD",
            "address_2": "SUITE 340",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330643550",
            "telephone_number": "954-783-0035",
            "fax_number": "954-943-2771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIMITRA THEOHARIS PSYD LMHC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-16",
        "last_updated": "2014-01-16",
        "status": "A",
        "authorized_official_last_name": "THEOHARIS",
        "authorized_official_first_name": "DIMITRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-783-0035",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD, LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2014; 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.