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ILYSSA HERSHEY PSYD LLC
NPI 1013260082
Psychologist - Clinical in Pembroke Pines, FL

Active since October 16, 2012
15757 PINES BLVD, PMB 311, PEMBROKE PINES, FL 33027(954) 849-2012(954) 499-5913 Get Directions Write a Review

NPPES record last updated: October 16, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ilyssa Hershey Psyd Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ILYSSA HERSHEY PSYD LLC (NPI 1013260082) is a healthcare organization registered as a clinical in Pembroke Pines, Florida and active in the NPI registry since October 2012. The organization lists Ilyssa Hershey, Owner, as its authorized official.

NPPES Registry Identity

NPI1013260082
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameILYSSA HERSHEY PSYD LLC
Location Address15757 PINES BLVD, PMB 311Pembroke Pines, FL 33027-1207
Mailing Address15757 Pines Blvd, Pmb 311Pembroke Pines, FL 33027-1207 · (954) 849-2012 · Fax (954) 499-5913
Phone(954) 849-2012
Fax(954) 499-5913
Organization SubpartNo
Authorized OfficialIlyssa HersheyOwner · (954) 849-2012
Enumeration DateOctober 16, 2012
✔ NPI 1013260082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in FL · PY6625
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
15757 PINES BLVD, Pembroke Pines, FL 33027
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ilyssa Hershey Psyd Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Ilyssa Hershey Psyd LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ilyssa Hershey, PSYD
Clinical Psychologist
NPI 1417211723
2855 N UNIVERSITY DR STE 410
Coral Springs, FL 33065
(954) 849-2012
✔ PECOS✔ Accepts Medicare19 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ilyssa Hershey Psyd LLC's NPI number?

The NPI number for Ilyssa Hershey Psyd LLC is 1013260082. It was assigned to this organization in the NPPES registry on October 16, 2012.

Where is Ilyssa Hershey Psyd LLC located?

Ilyssa Hershey Psyd LLC is located at 15757 Pines Blvd Pmb 311, Pembroke Pines, FL 33027. The listed phone number is (954) 849-2012.

What is Ilyssa Hershey Psyd LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Ilyssa Hershey Psyd LLC enrolled in Medicare?

Yes. Ilyssa Hershey Psyd LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ilyssa Hershey Psyd LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Ilyssa Hershey Psyd LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Ilyssa Hershey Psyd LLC was last updated on October 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.