Individual provider Active NPI

Janet Levenson Raz, PSY.D.

  • Clinical Psychologist
  • Cooper City, FL
National Provider Identifier
1962457952
Registry record updated Jan 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY5455 Issued in FL
Practice address
2531 E Saratoga Dr
Cooper City, FL 33026-5009
Phone
(954) 309-1126
NPI assigned
May 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY5455 FL Primary

Addresses

Primary practice location

2531 E Saratoga Dr
Cooper City, FL 33026-5009

Mailing address

2531 E Saratoga Dr
Cooper City, FL 33026-5009
Phone (954) 309-1126

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040318000099 FL Practitioner - Psychologist Billing Independently 5991695801 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4125 W Sample Rd
Coconut Creek, FL 33073-4456
Phone (954) 309-1126

4800 Nob Hill Rd
Sunrise, FL 33351-4722
Phone (954) 309-1126

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY5455FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Janet Levenson Raz, Psy.D., P.a. Clinical CurrentSince Oct 1, 2003 Accepting new patients
Brooke Park Clinic Clinical Past Accepting new patients

Locations

4125 W Sample Rd
Coconut Creek, FL 33073
Phone (954) 309-1126

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296432000000",
    "number": "1962457952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2531 E SARATOGA DR",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "330265009",
            "telephone_number": "954-309-1126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2531 E SARATOGA DR",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "330265009",
            "telephone_number": "954-309-1126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVENSON RAZ",
        "first_name": "JANET",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2011-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY5455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cooper City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.