DR. JAN L FAUST (NPI# 1417028002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417028002 |
| Entity Type | Individual |
| Full Name | DR. JAN L FAUST |
| Credential | PH.D. |
| Practice Address |
3301 College Ave Davie FL 33314-7721 |
| Practice Telephone | 9542625713 |
| Mailing Telephone | 9542625713 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PY0004379 | FL | Behavioral Health & Social Service Providers |
| Street Address |
3301 COLLEGE AVE |
| City | DAVIE |
| State | FL |
| Zip Code | 33314-7721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437122025 | Jack Piermatti | Dentist | 3301 College Ave, Davie, FL 33314-7796 | 2006-02-13 |
| 1023620416 | Madison Disson | Physical Therapist | 3301 College Ave, Davie, FL 33314-7721 | 2020-08-18 |
| 1104437102 | Pallvi Goomer | Student in an Organized Health Care Education/Training Program | 3301 College Ave, Davie, FL 33314-7721 | 2020-08-12 |
| 1801405311 | Beatriz Christina Tejera | Student in an Organized Health Care Education/Training Program | 3301 College Ave, Davie, FL 33314-7721 | 2020-07-30 |
| 1972120046 | Daniel Gable | Student in an Organized Health Care Education/Training Program | 3301 College Ave, Davie, FL 33314-7721 | 2020-07-06 |
| 1891312500 | Erik Slabaugh | Student in an Organized Health Care Education/Training Program | 3301 College Ave, Davie, FL 33314-7721 | 2020-06-29 |
| 1942826979 | Aaron Hacker | Student in an Organized Health Care Education/Training Program | 3301 College Ave, Davie, FL 33314-7721 | 2020-06-25 |
| 1861015695 | Michael Ogene Bazzi | Student in an Organized Health Care Education/Training Program | 3301 College Ave, Davie, FL 33314-7721 | 2020-05-27 |
| 1497383863 | Robin Mata | Student in an Organized Health Care Education/Training Program | 3301 College Ave, Davie, FL 33314-7796 | 2020-03-31 |
| 1437700937 | Marshall Darien Moini | Dentist | 3301 College Ave, Davie, FL 33314-7721 | 2019-09-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386119949 | Tiffany Allen | Case Manager/Care Coordinator | 6602 Sw 41st Street, Davie, FL 33314 | 2018-10-10 |
| 1053804047 | Shannon Stowe | Specialist/Technologist | 3160 Palm Trace Landings Dr Apt 731, Davie, FL 33314 | 2018-06-13 |
| 1700374238 | Christian D Cameron | Developmental Therapist | 5900 Sw 24th Pl Unit 203, Davie, FL 33314 | 2018-04-30 |
| 1902308836 | Infusion Nurse Experts LLC | Home Health | 4802 Sw 51st Street, Davie, FL 33314 | 2018-03-07 |
| 1134658495 | Luz Arevalo | Behavioral Analyst | 6630 Sw 41 Pl, Davie, FL 33314 | 2017-06-08 |
| 1194253815 | Migdalis Padron | Behavior Technician | 4491 Sw 52nd Ct Apt 8, Fort Lauderdale, FL 33314 | 2017-05-25 |
| 1710240833 | Victor Pabon | Adult Companion | 4828 Sw 47 Lane, Davie, FL 33314 | 2012-06-22 |
| 1437433802 | Laura Maritsa Canciani | Counselor | 6005 Stirling Road #124, Davie, FL 33314 | 2011-10-04 |
| 1770729840 | Therapeeds, Inc. | Occupational Therapist | 5951 Orange Drive, Davie, FL 33314 | 2008-12-19 |
| 1861690851 | Craig Alan Handwerker | Counselor | 4200 Sw 54th Ct, Fort Lauderdale, FL 33314 | 2007-07-11 |
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| 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 |
|---|---|---|---|---|
| 1184092280 | Alessandra Shapiro | Psychologist | 7600 Sw 36th St, Davie, FL 33328-1902 | 2015-09-04 |
| 1629492830 | Jacob Connolly | Psychologist | 1839 Sw 81st Ter, Davie, FL 33324-4643 | 2014-02-07 |
| 1558653071 | Brooke Lyall Foris | Psychologist | 3850 S University Dr, 291225, Davie, FL 33329-8573 | 2011-05-03 |
| 1144497546 | Darnley Georges Elizee | Psychologist | 12555 Orange Dr Ste 208, Davie, FL 33330-4304 | 2008-05-14 |
| 1871795559 | Mary Beth Lopez | Psychologist | 6331 Sw 41st Ct, Davie, FL 33314-3405 | 2007-06-04 |
| 1073670808 | Elaine Karbonik | Psychologist | 5337 Orange Dr, Davie, FL 33314-3815 | 2007-01-02 |
| 1548358294 | Michael Fish | Psychologist | 10200 W State Road 84 Ste 105, Davie, FL 33324-4218 | 2006-10-10 |
| 1710910088 | Linda Radford | Psychologist | 12565 Orange Dr, #411, Davie, FL 33330-4303 | 2006-07-09 |
| 1639796675 | Seasons Psychotherapy Associates LLC | Psychologist | 12505 Orange Dr Ste 908, Davie, FL 33330-4300 | 2020-06-25 |
| 1134785090 | John Francis Skicki | Psychologist | 3301 College Ave, Davie, FL 33314-7721 | 2019-05-16 |
| Find all providers in DAVIE | ||||
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| 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.