Active NPI
Child Provider Specialists, Inc.
- Clinical Child & Adolescent Psychologist
- Weston, FL
National Provider Identifier
1942540257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- PY5889
- Legal business name
- CHILD PROVIDER SPECIALISTS, INC.
- Practice address
- 2771 Executive Park Dr
Suite #5
Weston, FL 33331-3642 - Phone
- (954) 577-3396
- NPI assigned
- Feb 22, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael Patrick Rizzo, PH.D.
- Title
- Owner/Licensed School Psychologist
- Phone
- (954) 385-6292
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | SS480 | FL | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | PY5889 | FL | Primary |
Addresses
Primary practice location
2771 Executive Park Dr
Suite #5
Weston, FL 33331-3642
Mailing address
2771 Executive Park Dr
Suite #5
Weston, FL 33331-3642
Phone (954) 577-3396
National Provider Directory
National Provider DirectoryLocations
2771 Executive Park Dr
Ste 5
Weston, FL 33331
Phone (954) 529-2130
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Child & Adolescent Psychologist
- Weston, FL
- NPI 1912201583
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361491200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1361491200000",
"number": "1942540257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2771 EXECUTIVE PARK DR",
"address_2": "SUITE #5",
"city": "WESTON",
"state": "FL",
"postal_code": "333313642",
"telephone_number": "954-577-3396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2771 EXECUTIVE PARK DR",
"address_2": "SUITE #5",
"city": "WESTON",
"state": "FL",
"postal_code": "333313642",
"telephone_number": "954-577-3396"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHILD PROVIDER SPECIALISTS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2013-02-22",
"last_updated": "2013-02-22",
"status": "A",
"authorized_official_last_name": "RIZZO",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "PATRICK",
"authorized_official_title_or_position": "OWNER/LICENSED SCHOOL PSYCHOLOGIST",
"authorized_official_telephone_number": "954-385-6292",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Counseling",
"state": "FL",
"license": "SS480",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "FL",
"license": "PY5889",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Weston, FL
- Nicole Chavez, PSY.D., MSW
- Victor Ramzes Chavez, MD
- Yesenia Chediak, RDN, LD/N
- Caryn Chenven, MS OTR
- Molly Chess, MSOT, OTR/L
- Maria Gabriela Child
- Children'S Center for Development & Behavior
- Children'S Educational & Psychological Services
- Children'S Therapy Center & More, Inc.
- Children'S Therapy Center & More, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.