Fort Lauderdale DBT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

SW12668 Issued in FL

Legal business name

FORT LAUDERDALE DBT

Practice address

2627 NE 203Rd St
Suite 214
Miami, FL 33180-1900

Phone

(973) 224-0693

NPI assigned

Apr 28, 2016

Last updated

Apr 28, 2016By 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

Mr. David Ettinger, LCSWNPI 1225313695

Title

President

Phone

(973) 224-0693

Specialties & licenses 1

Addresses

Other names 1

• Florida DBT Other name

Practitioners 1

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.

• David Ettinger, LMSW

  • Professional Counselor
  • Aventura, FL
  • NPI 1225313695
  NPD (past) Authorized official

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

{
    "created_epoch": "1461801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461801600000",
    "number": "1982059861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3029 NE 188TH ST",
            "address_2": "APT. 516",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331802989",
            "telephone_number": "973-224-0693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2627 NE 203RD ST",
            "address_2": "SUITE 214",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331801900",
            "telephone_number": "973-224-0693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT LAUDERDALE DBT",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-28",
        "last_updated": "2016-04-28",
        "status": "A",
        "authorized_official_last_name": "ETTINGER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-224-0693",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "SW12668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Florida DBT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Caridad Susana Forrester, MS, CCC-SLP
• Carlos Fors, D.D.S
• Lourdes Q Forster, MD
• Richard K Forster, MD
• Desiree Maria Forsyth Sommer, LMHC
• Fort Pierce Orthopaedics LLC
• Alexander Fort, MD
• Gilza Maria Fort, LMFT
• Guerlym Forte Casal
• Elizaidi Forte Molina

• Mental Health Counselor in Miami, FL
• Providers in Miami, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2016; 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.