Organization Active NPI

Collaborative Healthcare Services, LLC.

  • Clinical Psychologist
  • Oakland Park, FL
National Provider Identifier
1902479272
Registry record updated Jul 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
COLLABORATIVE HEALTHCARE SERVICES, LLC.
Practice address
2042 Coral Heights CT
Oakland Park, FL 33308-5223
Phone
(954) 551-8460
NPI assigned
Jul 23, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2021

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

Authorized official

Name
Dr. Brittany Marie Love-Costello, PSY.D.
Title
Licensed Psychologist / President
Phone
(954) 551-8460

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

2042 Coral Heights CT
Oakland Park, FL 33308-5223

Mailing address

2042 Coral Heights CT
Oakland Park, FL 33308-5223
Phone (954) 551-8460

Other identifiers 1

IdentifierTypeStateIssuer
1588933550OtherFLNPI

National Provider Directory

National Provider Directory

Networks

  • HealthSun Health Plans Network

NPI Registry JSON

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

{
    "created_epoch": "1626998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626998400000",
    "number": "1902479272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2042 CORAL HEIGHTS CT",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333085223",
            "telephone_number": "954-551-8460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2042 CORAL HEIGHTS CT",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333085223",
            "telephone_number": "954-551-8460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLABORATIVE HEALTHCARE SERVICES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-23",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A",
        "authorized_official_last_name": "LOVE-COSTELLO",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST / PRESIDENT",
        "authorized_official_telephone_number": "954-551-8460",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1588933550",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; 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.