Individual provider Active NPI

Todd Stacey Ludwig, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Lauderdale, FL
National Provider Identifier
1952949208
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11005390 Issued in FL
Practice address
2816 Coral Shores Dr
Fort Lauderdale, FL 33306-1256
Phone
(772) 828-7277
NPI assigned
Dec 17, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NP95030470 CA
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X APRN11005390 FL Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ01168400 NJ

Addresses

Primary practice location

2816 Coral Shores Dr
Fort Lauderdale, FL 33306-1256

Mailing address

2816 Coral Shores Dr
Fort Lauderdale, FL 33306-1256
Phone (772) 828-7277

Other practice location 1

800 Kings Hwy N Ste 100
Cherry Hill, NJ 08034-1585
Phone (856) 263-4965

Other practice location 2

300 Littleton Rd Ste 200
Parsippany, NJ 07054-4841
Phone (516) 928-6392

Other practice location 3

10780 Santa Monica Blvd Ste 105
Los Angeles, CA 90025-7613
Phone (424) 521-1066

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

LicenseStateTypeSpecialty
APRN11005390FLMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1576540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1952949208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2816 CORAL SHORES DR",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061256",
            "telephone_number": "772-828-7277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2816 CORAL SHORES DR",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061256",
            "telephone_number": "772-828-7277"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Kings Hwy N Ste 100",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080341585",
            "country_code": "US",
            "telephone_number": "856-263-4965",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Littleton Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Parsippany",
            "state": "NJ",
            "postal_code": "070544841",
            "country_code": "US",
            "telephone_number": "516-928-6392",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10780 Santa Monica Blvd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900257613",
            "country_code": "US",
            "telephone_number": "424-521-1066",
            "fax_number": "424-326-8553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUDWIG",
        "first_name": "TODD",
        "middle_name": "STACEY",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-17",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "NP95030470",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11005390",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ01168400",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; 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.