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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
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 |
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 |
Street Address |
7600 SW 36TH STREET |
City | FT. LAUDERDALE |
State | FL |
Zip Code | 33328-1902 |
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 |
Find all providers in zip 33328 |
Taxonomy Code | 103T00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
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] |
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 |
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 |
Find all providers with the same taxonomy |
City | FT. LAUDERDALE |
Zip Code | 33328 |
Please comment or provide details below to improve the information on NOVA SOUTHEASTERN UNIVERSITY, INC.
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.