DR. LINDA RADFORD (NPI# 1710910088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710910088 |
| Entity Type | Individual |
| Full Name | DR. LINDA RADFORD |
| Credential | PH.D. |
| Practice Address |
12565 Orange Dr #411 Davie FL 33330-4303 |
| Practice Telephone | 9544239911 |
| Practice Fax Number | 9544234338 |
| Mailing Telephone | 9544239911 |
| Mailing Fax Number | 9544234338 |
| Enumeration Date | 2006-07-09 |
| 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 | PY 4511 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE CROSS/BLUE SHIELD FL | 73825 | 01 |
| Street Address |
12565 ORANGE DR #411 |
| City | DAVIE |
| State | FL |
| Zip Code | 33330-4303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891065173 | American Institute of Sport and Function | Chiropractor | 12565 Orange Dr, Suite 404, Davie, FL 33330-4303 | 2012-01-04 |
| 1609083542 | Oscar Gonzalez Dds Pa | Dentist | 12565 Orange Dr, Suite 414, Davie, FL 33330-4303 | 2007-05-17 |
| 1417018508 | Oscar Gonzalez | Dentist | 12565 Orange Dr, Suite 414, Davie, FL 33330-4303 | 2006-12-12 |
| 1912078320 | Juan M Matos | Durable Medical Equipment & Medical Supplies | 12565 Orange Dr, Suite 407, Davie, FL 33330-4303 | 2006-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245830595 | Community Children's Therapy, Inc | Developmental Therapist | 12353 Natalies Cove Rd, Cooper City, FL 33330 | 2020-10-27 |
| 1508365982 | Sun Coast Recovery Ranch LLC | Substance Abuse Rehabilitation Facility | 4801 Hancock Rd, Southwest Ranches, FL 33330 | 2018-02-12 |
| 1487153441 | Everglades Physicians Alliance LLC | Internal Medicine | 4745 Volunteer Road, Suite 301, Davie, FL 33330 | 2018-02-06 |
| 1639689532 | Tariq Azeez | Occupational Therapy Assistant | 4301 S Flamingo Road #101, Davie, FL 33330 | 2017-10-05 |
| 1497129597 | Right Path Recovery, LLC | Substance Abuse Rehabilitation Facility | 4801 Hancock Road, Southwest Ranches, FL 33330 | 2015-11-30 |
| 1104202878 | Meghan Ashley Oswain | Occupational Therapist | 3141 Sw 118 Terrace, Davie, FL 33330 | 2015-08-05 |
| 1588075089 | Nicole Santiago | Respiratory Therapist, Registered | 5117 Sw 122nd Terrace, Cooper City, FL 33330 | 2014-05-19 |
| 1205180171 | Richard L. Sherman, D.d.s. | Dentist | 4725 Sw 148 Ave. Suite 203, Davie, FL 33330 | 2012-10-31 |
| 1952612996 | Vikram V Thakar | Podiatrist | 11302 Sw 55 St, Cooper City, FL 33330 | 2010-06-24 |
| 1376875344 | Carlos E. Spera, Md, Pa | Clinic/Center | 12575 Orange Drive #303, Davie, FL 33330 | 2010-02-02 |
| Find all providers in zip 33330 | ||||
| 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 |
| 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 |
| 1801352471 | Jennifer E Sincore | Psychologist | 3440 S University Dr, Davie, FL 33328-2000 | 2019-02-19 |
| 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.