Clinical Neuropsychology Center LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

PY9314 Issued in FL

Legal business name

CLINICAL NEUROPSYCHOLOGY CENTER LLC

Practice address

200 Oakwood LN
100
Hollywood, FL 33020-1929

Phone

(877) 711-2128

Fax

(877) 711-2128

NPI assigned

Sep 8, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Michael Collins, PHD

Title

Neuropsychologist

Phone

(754) 281-6634

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1441670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478044800000",
    "number": "1922476985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8610 LAKESIDE BND",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330762884",
            "telephone_number": "877-711-2128",
            "fax_number": "877-711-2128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 OAKWOOD LN",
            "address_2": "100",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330201929",
            "telephone_number": "877-711-2128",
            "fax_number": "877-711-2128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL NEUROPSYCHOLOGY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-08",
        "last_updated": "2016-11-02",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "NEUROPSYCHOLOGIST",
        "authorized_official_telephone_number": "754-281-6634",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "FL",
            "license": "PY9314",
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "FL",
            "license": "PY9314",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sharon Clements, ARNP
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• Clinica Las Mercedes, LLC
• Clinique Medmanagement Group, LLC
• Valentina Clinton
• Lauren Alyssa Clover, MT-BC
• Jessica L Co, MSN, APRN, RN
• Coastal Companion Care, LLC

• Adult Mental Health Clinic/Center in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Adult Mental Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; 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.