Active NPI
Alfredo Bolasini, MD
- Psychiatry Physician
- Hollywood, FL
National Provider Identifier
1902198864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME31450
- Practice address
- 4040 N Hills Dr
Suite 32
Hollywood, FL 33021-2464 - Phone
- (954) 456-6336
- NPI assigned
- May 11, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | ME31450 | FL | Primary |
Addresses
Primary practice location
4040 N Hills Dr
Suite 32
Hollywood, FL 33021-2464
Mailing address
4040 N Hills Dr
Suite 32
Hollywood, FL 33021-2464
Phone (954) 456-6336
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME31450 | FL | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305072000000",
"number": "1902198864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4040 N HILLS DR",
"address_2": "SUITE 32",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330212464",
"telephone_number": "954-456-6336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4040 N HILLS DR",
"address_2": "SUITE 32",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330212464",
"telephone_number": "954-456-6336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOLASINI",
"first_name": "ALFREDO",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-05-11",
"last_updated": "2011-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME31450",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.