Individual provider Active NPI

Deborah Mintzer, PSY.D.

  • Psychologist
  • Coral Springs, FL
National Provider Identifier
1871748905
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY7770 Issued in FL
Practice address
3000 N University Dr Ste D
Coral Springs, FL 33065-5048
Phone
(954) 258-9785
Fax
(954) 340-2081
NPI assigned
Nov 17, 2008
Last updated
Jan 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY7770 FL Primary

Addresses

Primary practice location

3000 N University Dr Ste D
Coral Springs, FL 33065-5048

Mailing address

3000 N University Dr Ste D
Coral Springs, FL 33065-5048
Phone (954) 258-9785

Other identifiers 1

IdentifierTypeStateIssuer
75249OtherFLBC/BS OF FLORIDA

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
I20081231000244 FL Practitioner - Clinical Psychologist 5092874313 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3000 N University Dr
Suite D
Coral Springs, FL 33065-5048
Phone (954) 752-9393

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PY7770FLMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Deborah Mintzer Psy D PA Psychologist CurrentSince Sep 1, 2008 Accepting new patients

Locations

5411 N University Dr
Ste 202
Coral Springs, FL 33067
Phone (866) 777-4494

3000 N University Dr
Ste D
Coral Springs, FL 33065
Phone (954) 258-9785

1440 Coral Ridge Dr
Coral Springs, FL 33071
Phone (800) 568-4733

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1226880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1871748905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 N UNIVERSITY DR STE D",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330655048",
            "telephone_number": "954-258-9785",
            "fax_number": "954-340-2081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 N UNIVERSITY DR STE D",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330655048",
            "telephone_number": "954-258-9785",
            "fax_number": "954-340-2081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINTZER",
        "first_name": "DEBORAH",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-17",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY7770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF FLORIDA",
            "identifier": "75249",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.