Provider Demographics
NPI:1386823516
Name:PSYCHOLOGICAL SOLUTIONS INC
Entity Type:Organization
Organization Name:PSYCHOLOGICAL SOLUTIONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:J
Authorized Official - Last Name:SCHLOSSBERG
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:954-455-7745
Mailing Address - Street 1:1250 E HALLANDALE BEACH BLVD STE 905
Mailing Address - Street 2:
Mailing Address - City:HALLANDALE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33009-4643
Mailing Address - Country:US
Mailing Address - Phone:954-455-7745
Mailing Address - Fax:954-456-0430
Practice Address - Street 1:1250 E HALLANDALE BEACH BLVD STE 905
Practice Address - Street 2:
Practice Address - City:HALLANDALE BEACH
Practice Address - State:FL
Practice Address - Zip Code:33009-4643
Practice Address - Country:US
Practice Address - Phone:954-455-7745
Practice Address - Fax:954-456-0430
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-24
Last Update Date:2007-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK1763Medicare PIN