NOVA SOUTHEASTERN UNIVERSITY, INC


Address: 7600 Sw 36th Street, Ft. Lauderdale, FL 33328-1902
Phone: 9542622917

NOVA SOUTHEASTERN UNIVERSITY, INC (NPI# 1194991059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194991059
Entity Type Organization
Organization Name NOVA SOUTHEASTERN UNIVERSITY, INC
Practice Address 7600 Sw 36th Street
Ft. Lauderdale
FL 33328-1902
Mailing Address 3200 S University Drive
Sanford L. Ziff Bldg. 3rd Floor, Room 4364-d
Davie
FL 33328-2018
Practice Telephone 9542622917
Practice Fax Number 9542622917
Mailing Telephone 9542624343
Mailing Fax Number 9542622269
Enumeration Date 2008-05-01
Last Update Date 2011-06-16
Authorized Official Name DR. ROBERT S OLLER (CEO/CLINICAL OPERATIONS)
Authorized Official Telephone 9542624343
Authorized Official Credential D.O.
Is Organization Subpart Y
Parent Organization Name NOVA SOUTHEASTERN UNIVERSITY, INC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist Behavioral Health & Social Service Providers

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1558799809 Nova Southeastern University, Inc Clinical Medical Laboratory 3321 College Ave, 4th Floor Suite 490, Davie, FL 33314-7705 2013-10-24
1013208800 Nova Southeastern University, Inc Dentist 1050 Ne 125th Street, North Miami Beach, FL 33161-5805 2011-04-27
1881732634 Nova Southeastern University, Inc Family Medicine 1750 Ne 167th Street, North Miami Beach, FL 33162-3017 2007-02-02
1700924511 Nova Southeastern University, Inc Technician/Technologist 650 North Andrews Avenue, Ft. Lauderdale, FL 33311-7436 2007-02-02
1922550003 Nova Southeastern University, Inc Occupational Therapist 3375 Sw 75th Ave, Room 1021, Davie, FL 33314-1400 2016-10-25
1669763462 Nova Southeastern University, Inc Dentist 3075 Nw 35th Ave, Lauderdale Lakes, FL 33311-1107 2011-04-27
1811288012 Nova Southeastern University, Inc Dentist 7600 Sw 36th Street, Bldg. # 100 Room 1263, Davie, FL 33328-1902 2011-04-22
1770722282 Nova Southeastern University, Inc Physical Therapist 3301 College Ave, Room 1441 - University Center, Davie, FL 33314 2009-02-09
1225277650 Nova Southeastern University, Inc Optometrist 1750 Ne 167th Street, North Miami Beach, FL 33162-3017 2009-02-09
1588802169 Nova Southeastern University, Inc Optometrist 3200 S University Drive, Sanford L.ziff Bldg. 2nd Floor, Ft. Lauderdale, FL 33328-2018 2009-02-04

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities NOVA SOUTHEASTERN UNIVERSITY, INC. 3301 College Ave, Fort Lauderdale, FL 33314-7721
Colorado Business Entities NOVA SOUTHEASTERN UNIVERSITY, INC. Nova Southeastern University, 3301 College Ave - Licensure, Fort Lauderdale, FL 33314
Iowa Business Entities NOVA SOUTHEASTERN UNIVERSITY, INC. 3301 College Ave, Ft Lauderdale, FL 33314
Oregon Corporations, Companies and Business Names NOVA SOUTHEASTERN UNIVERSITY, INC. 3301 College Ave, Fort Lauderdale, FL 33314
Vermont Business Registrations NOVA SOUTHEASTERN UNIVERSITY, INC. 3301 College Avenue, Ft. Lauderdale, FL 33314
Indiana Business Entities NOVA SOUTHEASTERN UNIVERSITY, INC. 3301 College Avenue, Fort Lauderdale, FL 33314

Office Location

Street Address 7600 SW 36TH STREET
City FT. LAUDERDALE
State FL
Zip Code 33328-1902

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306496708 Venise Jacqueslouis Behavior Technician 8001 We 36th St, Suite 9, Davie, FL 33328 2019-09-17
1134780539 1st Nursing Care Services Registered Nurse 10335 Sw 50th Ct, Cooper City, FL 33328 2019-06-26
1023572245 Rezan Tewolde Pharmacist 37772 Churchill Downs Drive, Davie, FL 33328 2019-01-23
1497237820 Yasmeen Dahsheh Behavior Technician 8001 Sw 36th Street Suite #9, Davie, FL 33328 2018-09-01
1831686948 Kristal Arias Behavior Technician 8001 Sw 36th Street, Suite #9, Davie, FL 33328 2018-04-16
1952810384 April R Hardy Behavior Technician 8001 Sw 36 Street Suite 9, Davie, FL 33328 2017-09-28
1609391556 Courtney M Talbert Behavior Technician 8001 Sw 36 St, Suite 9, Davie, FL 33328 2017-08-11
1639619349 Remya Mathew General Acute Care Hospital 10030 Grove Ln, Cooper City, FL 33328 2017-02-28
1184161945 Elizabeth Stabinski Marriage & Family Therapist 4900 South University Drive, Suite 200d, Davie, FL 33328 2017-01-31
1285097659 Pandolfi Counseling Associates, Inc. Social Worker 5291 Sw 89th Ave, Cooper City, FL 33328 2016-04-01
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700191863 Lorraine Wincor P.a. Psychologist 3200 Port Royale Dr, # 1203, Ft. Lauderdale, FL 33308-7805 2010-08-13
1992834048 Rita Gugel Psychologist 1326 S. E. 3rd Avenue, Ft. Lauderdale, FL 33316 2007-03-05

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1376144774 Jennifer Mcmanus Psychologist 4143 San Juan Ave, Jacksonville, FL 32210-3333 2020-11-03
1992304711 Thomas Francis Ryan Psychologist 1015 Sonesta Ave, Brandon, FL 33511-6658 2020-10-22
1912506924 Emily F. Hoon, Phd, Pllc Psychologist 2531 Nw 41st Street, Suite C, Gainesville, FL 32606-7490 2020-10-21
1447866405 Daniel Martinez Psychologist 4765 W Atlantic Ave, Delray Beach, FL 33445-3838 2020-09-16
1134731367 North Florida Neuropsychology, LLC Psychologist 1614 Mahan Center Blvd Ste 104, Tallahassee, FL 32308-5475 2020-08-19
1215547153 Ellen Frances Price Phd Psychologist 7025 Beracasa Way Ste 102c, Boca Raton, FL 33433-3428 2020-08-05
1811515745 Sarah Amelia Sanon Psychologist 10381 Sw 9th Ln, Pembroke Pines, FL 33025-3585 2020-07-07
1720606718 Carolina Montalvo Psychologist 480 Ne 30th St Apt 1606, Miami, FL 33137-4337 2020-07-07
1689291833 Bridget Cabibi Psychologist 10700 Nw 66th St Apt 512, Doral, FL 33178-5508 2020-07-02
1912524414 Infinity Doctors Inc. Psychologist 9821 E Bay Harbor Dr Apt 401, Bay Harbor Islands, FL 33154-1868 2020-06-30
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Competitor

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City FT. LAUDERDALE
Zip Code 33328

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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