PAMELA KEBRDLE (NPI# 1982817359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982817359 |
| Entity Type | Individual |
| Full Name | PAMELA KEBRDLE |
| Credential | PHD |
| Practice Address |
3475 Sheridan St #308 Hollywood FL 33021-3663 |
| Practice Telephone | 9549643040 |
| Practice Fax Number | 9549642496 |
| Mailing Telephone | 9549643040 |
| Mailing Fax Number | 9549642496 |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TP0016X |
Psychologist Specialization: Prescribing (Medical) |
PY0005077 | FL | Behavioral Health & Social Service Providers |
| Street Address |
3475 SHERIDAN ST #308 |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33021-3663 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396767273 | Sherry L Gargano | Acupuncturist | 3475 Sheridan St, Ste. 215-b, Hollywood, FL 33021-3663 | 2006-07-23 |
| 1932598851 | Mivip Behavioral Health LLC | Psychologist | 3475 Sheridan St, 101, Hollywood, FL 33021-3663 | 2015-01-15 |
| 1659790657 | Biscayne Plaza Surgery Center, LLC | Clinic/Center | 3475 Sheridan St, Suite 104, Hollywood, FL 33021-3663 | 2014-04-08 |
| 1881948347 | Arlene Lillian Kasner | Nutritionist | 3475 Sheridan St, Suite 309, Hollywood, FL 33021-3663 | 2012-11-06 |
| 1154691657 | Maria Berei | Massage Therapist | 3475 Sheridan St, Suite 215-f, Hollywood, FL 33021-3663 | 2011-12-31 |
| 1306172499 | Debra L Bichachi | Social Worker | 3475 Sheridan St, Suite 310, Hollywood, FL 33021-3663 | 2009-10-23 |
| 1942475090 | Andrew Steven Gast | Psychologist | 3475 Sheridan St, Suite 309, Hollywood, FL 33021-3663 | 2008-04-29 |
| 1053598094 | Karen U Breakstone | Psychiatry & Neurology | 3475 Sheridan St, Suite 308, Hollywood, FL 33021-3663 | 2008-01-22 |
| 1649398090 | World First Class Home Health Inc. | Home Health | 3475 Sheridan St, Suite 315, Hollywood, FL 33021-3663 | 2007-03-26 |
| 1851424147 | Scott W Hedrick Dcpa | Chiropractor | 3475 Sheridan St, Suite 207, Hollywood, FL 33021-3663 | 2007-03-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548893894 | Seminole Tribe of Florida Health Department | Pharmacy | 111 W. Coral Way, Hollywood, FL 33021 | 2020-02-14 |
| 1437714086 | Emilia Roxana Gucciardo | Physician Assistant | 4510 Sheridan Street, Attn: William Pepe, Hollywood, FL 33021 | 2019-05-08 |
| 1649763673 | Sabrina Shoba Mathura | Behavior Technician | 4400 Madison St, Hollywood, FL 33021 | 2018-06-13 |
| 1558850149 | South Broward Hospital District | Pediatrics | 105 Joe Dimaggio Dr, Pediatric Heart Station, Hollywood, FL 33021 | 2018-05-09 |
| 1942798368 | Kyndra Monique Liburd | Student in an Organized Health Care Education/Training Program | Attn: Pediatric Residency Program, 1005 Joe Dimaggio Drive, Hollywood, FL 33021 | 2018-05-01 |
| 1992292106 | Madeleine Mariela Reyes | Nurse Practitioner | 5010 Hollywood Boulevard #100-b, Hollywood, FL 33021 | 2018-04-13 |
| 1487168233 | Gynecologic Oncology & Urogynecology | Obstetrics & Gynecology | 1150 N 35th Ave Ste 670, Hollywood, FL 33021 | 2017-11-30 |
| 1245743012 | Healix Healthcare Services, LLC | Obstetrics & Gynecology | 3990 Sheridan St Ste 207, Hollywood, FL 33021 | 2017-11-14 |
| 1093233587 | Benjamin Laborde | Physical Therapy Assistant | 4200 Washington Street, Hollywood, FL 33021 | 2017-09-05 |
| 1477079358 | Tt Trans, LLC | Non-emergency Medical Transport (VAN) | 3550 Washington Street, 502, Hollywood, FL 33021 | 2017-08-22 |
| Find all providers in zip 33021 | ||||
| Taxonomy Code | 103TP0016X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Prescribing (Medical) |
| Those licensed psychologists who have completed specialized, post-doctoral training in psychopharmacology, passed a national proficiency examination in psychopharmacology, and who are authorized by state statute to prescribe medications, in accordance with their state law and state licensing authority, for the evaluation, diagnosis, management and treatment of mental, nervous, emotional, behavioral, and related disorders. |
| Notes: Source: Louisiana Academy of Medical Psychologists Note: Some states issue licenses under Medical Psychologist. [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689982415 | Infinite Behavioral Health, Inc | Psychologist | 2421 Hollywood Blvd, Suite 1 and 2, Hollywood, FL 33020-6605 | 2010-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356795629 | Florida Psych Services Inc. | Psychologist | 13436 Sw Pembroke Cir N, Lake Suzy, FL 34269-6909 | 2016-04-22 |
| 1053712125 | Lysal Enterprises, Inc. | Psychologist | 7215 Zapata Dr, Jacksonville, FL 32210-4772 | 2014-09-09 |
| 1295075372 | Pinellas Psychiatric Services, LLC | Psychologist | 25 Franklin Ct S, Unit A, St Petersburg, FL 33711-5136 | 2013-02-26 |
| 1376883074 | Pauline S Powers Md LLC | Psychologist | 7401 Temple Terrace Hwy Ste A, Temple Terrace, FL 33637-5784 | 2013-02-18 |
| 1982836391 | Back Door, LLC | Psychologist | 1639 Cape Coral Pkwy E Ste 211, Cape Coral, FL 33904-9657 | 2009-08-18 |
| 1508046855 | Sunrise Mental Health Inc | Psychologist | 250 Brooks Street, Suite C, Fort Walton Beach, FL 32548 | 2007-11-05 |
| 1245429463 | Broward Institute of Neuro Science L L C | Psychologist | 7501 Wiles Rd Ste 105, Coral Springs, FL 33067-2063 | 2007-10-24 |
| 1083802821 | Treasure Coast Psychiatric Services, P.a. | Psychologist | 789 S Federal Hwy Suite 213, Stuart, FL 34994-2962 | 2007-10-05 |
| 1083828438 | Phil K Springer | Psychologist | Florida State Prison, 7819 Nw 228th Street, Raiford, FL 32026-0001 | 2007-05-09 |
| 1346465424 | Janis Faith Heffron | Psychologist | 1317 Winewood Blvd Ste 6 Room 213, Tallahassee, FL 32399-6570 | 2007-04-16 |
| Find all providers with the same taxonomy | ||||
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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.