Active NPI
Lisa Wasserman, PSY.D., ATR-BC
- Art Therapist
- Hollywood, FL
National Provider Identifier
1902969660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Art Therapist
- License
- 96-180
- Practice address
- 3501 Johnson St
Hollywood, FL 33021-5421 - Phone
- (954) 985-5809
- NPI assigned
- Dec 17, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Art Therapist | 221700000X | 96-180 | FL | Primary |
Addresses
Primary practice location
3501 Johnson St
Hollywood, FL 33021-5421
Mailing address
14811 Archerhall St
Davie, FL 33331-2955
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 96-180 | FL | MD | Art Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902969660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14811 ARCHERHALL ST",
"city": "DAVIE",
"state": "FL",
"postal_code": "333312955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3501 JOHNSON ST",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330215421",
"telephone_number": "954-985-5809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WASSERMAN",
"first_name": "LISA",
"name_prefix": "Dr.",
"credential": "PSY.D., ATR-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": "FL",
"license": "96-180",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hollywood, FL
- Daniel Warum, M.D.
- Washington Manor Health Care Associates LLC (Hillcrest Nursing and Rehabilitation Center)
- Moses Anthony Washington, M.D.
- Jason Wasser, LMFT
- Daniel A Wasserman, DOM
- Water Lilly Pharmacy LLC
- Water Lilly Pharmacy LLC
- Carly-Jayne Waters, LCSW, CAP
- Watson Mental Health Services
- Deborah Watson, PH.D., LMHC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.