Alexander Kushch, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY5881 Issued in FL

Practice address

5353 N Federal Hwy
Ste 207
Fort Lauderdale, FL 33308-3236

Phone

(954) 296-1048

Fax

(954) 981-9443

NPI assigned

Oct 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Alexander Kushch, PHD, PA

  • Clinical Psychologist
  • Fort Lauderdale, FL
  • NPI 1700158078
  Medicare reassignment NPD Authorized official
• Connie Kushch Au.D., LLC

  • Audiologist
  • Fort Lauderdale, FL
  • NPI 1063947190
  NPD (past)
• Kerrianne Bresnan, Psy.D., LLC

  • Clinical Neuropsychologist
  • Fort Lauderdale, FL
  • NPI 1366780553
  NPD (past)

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491523200000",
    "number": "1871676262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8930 W STATE ROAD 84",
            "address_2": "NO. 113",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333244456",
            "telephone_number": "954-296-1048",
            "fax_number": "954-981-9443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5353 N FEDERAL HWY",
            "address_2": "STE 207",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333083236",
            "telephone_number": "954-296-1048",
            "fax_number": "954-981-9443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUSHCH",
        "first_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2017-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY5881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thiyagarajan Kumar, P.T
• Andrea Kupferman
• Joseph Kurian, MBBS
• Merin Kurian
• Christina Kursewicz, MD
• Connie Anne Kushch
• Yael Eva Kushner, PA-C
• Micah Kust
• Natalie Kusturic, LMFT
• Carson Kutuchief, PT, DPT

• Clinical Psychologist in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.