South Broward Hospital District - Medicare Mental Health Clinic in Hollywood, FL

South Broward Hospital District is a medicare enrolled mental health clinic (Psychologist) in Hollywood, Florida. The current practice location for South Broward Hospital District is 1150 N 35th Ave Ste 525, Hollywood, Florida. For appointments, you can reach them via phone at (954) 265-6966. The mailing address for South Broward Hospital District is 2900 Corporate Way, Door D, Miramar, Florida and phone number is (954) 276-5685.

South Broward Hospital District is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1013471614. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (954) 265-6966.

Contact Information

South Broward Hospital District
1150 N 35th Ave Ste 525
Hollywood
FL 33021-5431
(954) 265-6966
(954) 265-6950

Mental Health Clinic Profile

Full NameSouth Broward Hospital District
SpecialityPsychologist
Location1150 N 35th Ave Ste 525, Hollywood, Florida
Authorized Official Name and PositionNina Beauchesne (EXECUTIVE VICE PRESIDENT)
Authorized Official Contact9542653451
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
South Broward Hospital District
2900 Corporate Way
Door D
Miramar
FL 33025-3925

Ph: (954) 276-5685
South Broward Hospital District
1150 N 35th Ave Ste 525
Hollywood
FL 33021-5431

Ph: (954) 265-6966

NPI Details:

NPI Number1013471614
Provider Enumeration Date01/28/2019
Last Update Date01/28/2019

Medicare PECOS Information:

Medicare PECOS PAC ID8123927373
Medicare Enrollment IDO20191028002239

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Medical Identifiers

Medical identifiers for South Broward Hospital District such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013471614NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. South Broward Hospital District acts as a billing entity for following providers:
Provider NameXimena C Flanders
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1669723276
PECOS PAC ID: 3072845858
Enrollment ID: I20191028002548

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Provider NameLauren K Grodin
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1003108077
PECOS PAC ID: 7113259466
Enrollment ID: I20191106000417

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Provider NameChristina J Ortega
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1376950022
PECOS PAC ID: 4486934791
Enrollment ID: I20200212000105

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Provider NameEdgardo Lopez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306337068
PECOS PAC ID: 7012348774
Enrollment ID: I20200513000286

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Provider NameMichelle Brenes
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1720623648
PECOS PAC ID: 0840687836
Enrollment ID: I20220421000638

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Provider NameLazara A Novas
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1750708905
PECOS PAC ID: 3375900384
Enrollment ID: I20230607000963

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Provider NameJuliana Yanguas
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1649870866
PECOS PAC ID: 6608226006
Enrollment ID: I20231227003084

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Read more Medical News

› Verified 9 days ago

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Read more News

› Verified 9 days ago

Psychologist in Hollywood, FL

Reclamation Center, Llc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 6966 Taft St, Hollywood, FL 33024
Phone: 954-432-8831    Fax: 954-432-8832
Our Children Our Future, Inc.
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 450 N Park Rd, Suite 600, Hollywood, FL 33021
Phone: 954-929-7515    Fax: 954-929-7510
Serenity Behavioral Health Llc
Mental Health Clinic
Medicare: Medicare Enrolled
Practice Location: 2303 Hollywood Blvd, Suite 12, Hollywood, FL 33020
Phone: 954-367-7944    Fax: 954-374-8311
My Choice Individual And Family Counseling
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 2900 Dorchester Ln, Hollywood, FL 33026
Phone: 954-864-4552    
Live Free Wellness Institute Llc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 7709 Davie Road Ext, Hollywood, FL 33024
Phone: 305-336-1739    
Goddess Health & Wellness, Llc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 5420 Hollywood Blvd Apt 111, Hollywood, FL 33021
Phone: 754-300-7591    Fax: 954-206-0496

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