Unknown Individual – Clinical Psychologist, NPI 1174616841
Clinical Psychologist
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
7800, West Oakland Park Boulevard, Sunrise, Broward County, Florida, 33313, United States
SUITE 102
SUNRISE, FL 333516742
Phone: (954) 742-8400
Fax: (954) 742-0918
Mailing address matches the actual address.
NPPES updates history
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90837 | Psychotherapy, 1 hour | 257 | 11 | $0 |
Insurance plans in this area (ZIP 33351)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| - | FL | |
| - | FL |
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