Organization Active NPI

Child Provider Specialists, Inc.

  • Clinical Child & Adolescent Psychologist
  • Weston, FL
National Provider Identifier
1942540257
Registry record updated Feb 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
PY5889 Issued in FL
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

Updated by the provider on Feb 22, 2013

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)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC1900X SS480 FL
Clinical Child & Adolescent PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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

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.

Verify at the official NPI Registry.