SOUTH BROWARD HOSPITAL DISTRICT
NPI 1013471614
Psychologist in Hollywood, FL

Active since January 28, 2019
1150 N 35TH AVE STE 525, HOLLYWOOD, FL 33021(954) 265-6966(954) 265-6950 Get Directions Write a Review

NPPES record last updated: January 28, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About South Broward Hospital District NPPES

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

SOUTH BROWARD HOSPITAL DISTRICT (NPI 1013471614), doing business as Memorial Division Of Pediatric Psychology Services, is a healthcare organization registered as a psychologist in Hollywood, Florida and active in the NPI registry since January 2019. The organization lists Nina Beauchesne, Executive Vice President, as its authorized official.

NPPES Registry Identity

NPI1013471614
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameSOUTH BROWARD HOSPITAL DISTRICT
Location Address1150 N 35TH AVE STE 525Hollywood, FL 33021-5431
Mailing Address2900 Corporate Way, Door DMiramar, FL 33025-3925 · (954) 276-5685 · Fax (954) 985-7074
Fax(954) 265-6950
Organization SubpartYes
Authorized OfficialNina BeauchesneExecutive Vice President · (954) 265-3451
Enumeration DateJanuary 28, 2019
✔ NPI 1013471614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
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.
1150 N 35TH AVE STE 525, Hollywood, FL 33021

Other Names 1

Doing Business AsMemorial Division Of Pediatric Psychology Services

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

South Broward Hospital District is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to South Broward Hospital District, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Clinical Psychologist
NPI 1003108077
1150 N 35TH AVE STE 525
Hollywood, FL 33021
(954) 265-6966
✔ PECOS1.3 mi
Clinical Psychologist
NPI 1720623648
1150 N 35TH AVE STE 525
Hollywood, FL 33021
(954) 265-6968
✔ PECOS✔ Accepts Medicare1.3 mi
Nurse Practitioner
NPI 1306337068
1150 N 35TH AVE STE 670
Hollywood, FL 33021
(954) 267-1700
✔ PECOS✔ Accepts Medicare1.3 mi
Clinical Psychologist
NPI 1376950022
1150 N 35TH AVE STE 525
Hollywood, FL 33021
(954) 265-6967
✔ PECOS✔ Accepts Medicare1.3 mi
Clinical Psychologist
NPI 1750708905
2332 GALIANO ST STE 233
Coral Gables, FL 33134
(305) 588-3961
✔ PECOS18 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 South Broward Hospital District's NPI number?

The NPI number for South Broward Hospital District is 1013471614. It was assigned to this organization in the NPPES registry on January 28, 2019. The provider is doing business as Memorial Division of Pediatric Psychology Services.

Where is South Broward Hospital District located?

South Broward Hospital District is located at 1150 N 35th Ave Ste 525, Hollywood, FL 33021. The listed phone number is (954) 265-6966.

What is South Broward Hospital District's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is South Broward Hospital District enrolled in Medicare?

Yes. South Broward Hospital District is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through South Broward Hospital District?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to South Broward Hospital District. 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. The largest specialties are Clinical Psychologist (4) and Nurse Practitioner (1). Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does South Broward Hospital District accept?

Health plans from 22 Health, AmeriHealth Caritas Next, AvMed, Cigna HealthCare of Florida, Inc. and Cigna Healthcare and 1 other insurer list South Broward Hospital District as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for South Broward Hospital District was last updated on January 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.