Individual provider Active NPI

Emily Z Kleyman, PHD

  • Clinical Psychologist
  • Hollywood, FL
National Provider Identifier
1992738041
Registry record updated Jul 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY11714 Issued in FL
Practice address
4000 Hollywood Blvd Ste 715
Hollywood, FL 33021-6755
Phone
(833) 769-3524
NPI assigned
Jul 9, 2006
Last updated
Jul 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
02290004MedicaidNY
117632000MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230116000665 FL Practitioner - Clinical Psychologist 3678635836 Reassigns benefits to 4 organizations

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

LicenseStateTypeSpecialty
PY11714FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Emk Psychological Services LLC Clinical CurrentSince Mar 6, 2024 Accepting new patients
Senior Living Memory Health, Inc. Clinical CurrentSince Feb 12, 2025 Accepting new patients
Personal Recovery Network LLC CurrentSince Sep 18, 2023 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.

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

Verify at the official NPI Registry.