Charu Jain PSYD LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY9137 Issued in FL

Legal business name

CHARU JAIN PSYD LLC

Doing business as

Broward Psychology Center

Practice address

7420 NW 5TH St Ste 103
Plantation, FL 33317-1611

Phone

(954) 817-6372

NPI assigned

Mar 25, 2015

Last updated

Sep 29, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Charu Jain, PSYDNPI 1265834337

Title

President

Phone

(954) 817-6372

Specialties & licenses 1

Addresses

Other names 1

• Broward Psychology Center Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Tax ID family

Broward Psychology Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Charu Jain, Psy.D. LLC

  • Clinical Psychologist
  • Plantation, FL
  • NPI 1396296810
  NPD tax ID

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charu Jain, PSY.D.

  • Clinical Psychologist
  • Plantation, FL
  • NPI 1265834337
  Medicare reassignment NPD Authorized official
• Ingrid Partenio, PH.D.

  • Psychologist
  • Plantation, FL
  • NPI 1225050107
  NPD (past)
• Marcy Joy Rosenberg, M.A.,L.M.H.C.

  • Mental Health Counselor
  • Fort Lauderdale, FL
  • NPI 1316138563
  NPD (past)
• Lynda R Weitzman, LCSW

  • Clinical Social Worker
  • Greensboro, NC
  • NPI 1730179573
  NPD (past)

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

{
    "created_epoch": "1427241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601337600000",
    "number": "1962896191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7420 NW 5TH ST STE 103",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333171611",
            "telephone_number": "954-817-6372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7420 NW 5TH ST STE 103",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333171611",
            "telephone_number": "954-817-6372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARU JAIN PSYD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-25",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A",
        "authorized_official_last_name": "JAIN",
        "authorized_official_first_name": "CHARU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-817-6372",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY9137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Broward Psychology Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Broward Psychology Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Edwins Charles
• Karine Charles, NP
• Sabrine Charles, RPH
• Melissa Marie Charlton, ARNP
• Pamela Ann Charney, MSW, LCSW
• Charu Jain, Psy.D. LLC
• Deborah Marie Charvat, ARNP
• Chatterbox Speech Therapy LLC
• Ibrahim Khalid Chaughtai
• Brad Chayet, MD

• Clinical Psychologist in Plantation, FL
• Providers in Plantation, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.