Elizabeth Laquidara PHD PA

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY5164 Issued in FL

Legal business name

ELIZABETH LAQUIDARA PHD PA

Practice address

7025 Beracasa Way
102 B
Boca Raton, FL 33433-3443

Phone

(561) 416-7338

NPI assigned

Mar 16, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Elizabeth Laquidara, PHDNPI 1366496291

Title

Owner/President

Phone

(561) 416-1008

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elizabeth Laquidara, PH.D.

  • Clinical Psychologist
  • Boca Raton, FL
  • NPI 1366496291
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1237161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582588800000",
    "number": "1891936225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7025 BERACASA WAY STE 102B",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333428",
            "telephone_number": "561-416-7338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7025 BERACASA WAY",
            "address_2": "102 B",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333443",
            "telephone_number": "561-416-7338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH LAQUIDARA PHD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-16",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A",
        "authorized_official_last_name": "LAQUIDARA",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "561-416-1008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY5164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elite MD, Inc.
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• Eliteveinsboca PLLC
• Elizabeth H. Faulk Foundation, Inc. (Center for Group Counseling)
• Elizabeth Olivas, Incorporated (The Therapeutic Alternative)
• Elizabeth Tan-Chiu MD PA
• Elizabeth Tan-Chiu MD PA
• Jenna Eljaua
• Jaime Elkind Liou, DMD

• Clinical Psychologist in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.