Organization Active NPI

Equulibrium International Inc.

  • Group Psychotherapy Psychologist
  • Southwest Ranches, FL
National Provider Identifier
1861920555
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Group Psychotherapy PsychologistTaxonomy code 103TP2701X
License
PY6088 Issued in FL
Legal business name
EQUULIBRIUM INTERNATIONAL INC.
Practice address
18130 SW 50TH CT
Southwest Ranches, FL 33331-1024
Phone
(954) 661-8586
NPI assigned
May 25, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Giselle Faubel, PSY. D.NPI 1730392283
Title
President
Phone
(954) 661-8586

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
Group Psychotherapy PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TP2701X PY6088 FL Primary

Addresses

Primary practice location

18130 SW 50TH CT
Southwest Ranches, FL 33331-1024

Mailing address

18130 SW 50TH CT
Southwest Ranches, FL 33331-1024
Phone (954) 661-8586

Other identifiers 1

IdentifierTypeStateIssuer
651001211OtherFLGISELLE FAUBEL, PSY.D.

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.

NPI Registry JSON

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

{
    "created_epoch": "1495670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1861920555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18130 SW 50TH CT",
            "city": "SOUTHWEST RANCHES",
            "state": "FL",
            "postal_code": "333311024",
            "telephone_number": "954-661-8586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18130 SW 50TH CT",
            "city": "SOUTHWEST RANCHES",
            "state": "FL",
            "postal_code": "333311024",
            "telephone_number": "954-661-8586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EQUULIBRIUM INTERNATIONAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-25",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FAUBEL",
        "authorized_official_first_name": "GISELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-661-8586",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY. D."
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "FL",
            "license": "PY6088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GISELLE FAUBEL, PSY.D.",
            "identifier": "651001211",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southwest Ranches, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.