Michael Anthony Plasencia, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY9712 Issued in FL

Practice address

10406 Taft St
Pembroke Pines, FL 33026-2819

Phone

(954) 436-3880

Fax

(954) 436-3881

NPI assigned

Dec 2, 2016

Last updated

Feb 6, 2017By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

• Michael Plasencia, PSYD, PA

  • Clinical Psychologist
  • Pembroke Pines, FL
  • NPI 1063050359
  Authorized official Same address or phone
• Plasencia & Associates, P.a.

  • Mental Health Counselor
  • Pembroke Pines, FL
  • NPI 1558411496
  NPD

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

{
    "created_epoch": "1480636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486339200000",
    "number": "1881137289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 277535",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330277535",
            "telephone_number": "954-559-9201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10406 TAFT ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330262819",
            "telephone_number": "954-436-3880",
            "fax_number": "954-436-3881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLASENCIA",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-02",
        "last_updated": "2017-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY9712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Planned Parenthood of Florida, Inc. (Planned Parenthood of South Florida and the Treasure Coast)
• Plantation Pediatrics PA
• Plasencia & Associates, P.a.
• Yonaicris De Plasencia Vigil, APRN
• Carlos Eduardo Plasencia, PHD LMHC
• Bart E Plaskoff, M.ED., MSW, LCSW
• Play2Learn Therapy LLC
• Alejandra Marie Plaza, MS, CCC-SLP
• Delone Elizabeth Plummer, ARNP
• Jumel Pluviose

• Psychologist in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; 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.