ELIZABETH SABRINA IBANEZ (PH.D.) – Psychologist, NPI 1740432756

ELIZABETH SABRINA IBANEZ (PH.D.) is a healthcare provider. based in Weston, Florida. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. PY7792 (FL). The NPI Number for ELIZABETH SABRINA IBANEZ (PH.D.) is 1740432756

Main info

Female
Sole Proprietor
19 Years Of Experience
Accepts Medicare Assignment
Name
ELIZABETH SABRINA IBANEZ (PH.D.)
NPI
1740432756
Phone
(305) 494-6866
Address
2883 EXECUTIVE PARK DR
Enumeration Date
21 October 2008
Last Update Date
6 January 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2007 (19 years ago)
PAC ID
1557419660
Group Practice PAC ID
1456314343
Professional Enrollment ID
I20090429000471
Address ID
FL342397201Sa3224XRDXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

1,602 CLINICAL PSYCHOLOGIST in FL

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Provider Addresses for ELIZABETH SABRINA IBANEZ (PH.D.)

  • 2883, Executive Park Drive, Weston, Broward County, Florida, 33331, United States

    SUITE 103 F

    WESTON, FL 333313662

    Phone: (305) 494-6866

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-04-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090429000471IClinical PsychologistFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33331)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1456314343View full group profile
NameSpecialtyState
Mental Health CounselorFL
Clinical Social WorkerFL
Mental Health CounselorFL
Clinical Social WorkerOH
Clinical Social WorkerFL
Mental Health CounselorFL
-WI
Clinical Social WorkerFL
-FL
Mental Health CounselorFL

Reviews

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Frequently asked questions

Does ELIZABETH SABRINA IBANEZ (PH.D.) have a public NPI I can cite?
Public records show ELIZABETH SABRINA IBANEZ (PH.D.) under NPI 1740432756.
Is ELIZABETH SABRINA IBANEZ (PH.D.)'s NPI status active today?
Active status means ELIZABETH SABRINA IBANEZ (PH.D.)'s NPI record is not deactivated in the public file.
What type of care does ELIZABETH SABRINA IBANEZ (PH.D.) provide?
ELIZABETH SABRINA IBANEZ (PH.D.)'s profile centers on Psychologist. Clinical services aligned with this taxonomy classification.
What city is tied to ELIZABETH SABRINA IBANEZ (PH.D.)?
The directory associates ELIZABETH SABRINA IBANEZ (PH.D.) with Weston, Florida. Check all listed addresses for suites or satellite offices.
Can I export ELIZABETH SABRINA IBANEZ (PH.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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