Active NPI
Emily Z Kleyman, PHD
- Clinical Psychologist
- Hollywood, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY11714
- Practice address
- 4000 Hollywood Blvd Ste 715
Hollywood, FL 33021-6755 - Phone
- (833) 769-3524
- NPI assigned
- Jul 9, 2006
- Last updated
- Jul 28, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 015156 | NY | |
| Clinical Psychologist | 103TC0700X | PY11714 | FL | Primary |
Addresses
Primary practice location
4000 Hollywood Blvd Ste 715
Hollywood, FL 33021-6755
Mailing address
200 Diplomat Pkwy Apt 422
Hallandale Beach, FL 33009-8715
Phone (917) 660-0250
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02290004 | Medicaid | NY | |
| 117632000 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
200 Diplomat Pkwy
Apt 422
Hallandale Beach, FL 33009-8715
Phone (917) 660-0250
200 Diplomat Pkwy Apt
Suite 422
Hallandale Beach, FL 33009-8715
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY11714 | FL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emk Psychological Services LLC | Clinical | Current | Accepting new patients |
| Senior Living Memory Health, Inc. | Clinical | Current | Accepting new patients |
| Personal Recovery Network LLC | Current | Accepting new patients | |
| Child & Family Medical, PLLC | Clinical | Past | Accepting new patients |
Locations
7091 Atlantic Ave
Delray Beach, FL 33446
Phone (561) 558-2149
8570 Granite Ct
Ste 101
Fort Myers, FL 33908
Phone (239) 310-4646
4000 Hollywood Blvd
Ste 715S
Hollywood, FL 33021
Phone (754) 209-1880
16853 NE 2nd Ave
Ste 304
North Miami Beach, FL 33162
Phone (954) 907-1817
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Psychologist
- Hallandale Beach, FL
- NPI 1295504306
-
dba Memory Training Centers of Florida
- Clinical Psychologist
- North Miami Beach, FL
- NPI 1851847834
-
dba LifeStance Health
- Psychiatry Physician
- Stockbridge, GA
- NPI 1881990869
FL
-
- Clinical Psychologist
- North Miami Beach, FL
- NPI 1740552322
-
dba Therapy Center of New York
- Psychiatry Physician
- White Plains, NY
- NPI 1710008339
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690502400000",
"number": "1992738041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 DIPLOMAT PKWY APT 422",
"city": "HALLANDALE BEACH",
"state": "FL",
"postal_code": "330098715",
"telephone_number": "917-660-0250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 HOLLYWOOD BLVD STE 715",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330216755",
"telephone_number": "833-769-3524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEYMAN",
"first_name": "EMILY",
"middle_name": "Z",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-09",
"last_updated": "2023-07-28",
"certification_date": "2023-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "015156",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY11714",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02290004",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "117632000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.