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NOVA SOUTHEASTERN UNIVERSITY, INC
NPI 1083342109
Counselor - Mental Health in Davie, FL

Active since August 09, 2022CLIA Certified · 2 labs
3151 COLLEGE AVENUE, MAXWELL MALTZ BUILDING 1ST FLOOR, DAVIE, FL 33314(954) 262-3030 Get Directions Write a Review

NPPES record last updated: August 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nova Southeastern University, Inc NPPES

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

NOVA SOUTHEASTERN UNIVERSITY, INC (NPI 1083342109) is a healthcare organization registered as a mental health in Davie, Florida and active in the NPI registry since August 2022. The organization holds 2 active CLIA laboratory certificates and lists Lakeitha Baker, Credentialing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1083342109
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameNOVA SOUTHEASTERN UNIVERSITY, INC
Location Address3151 COLLEGE AVENUE, MAXWELL MALTZ BUILDING 1ST FLOORDavie, FL 33314
Mailing AddressPo Box 290370Davie, FL 33329-0370 · (954) 262-4343
Phone(954) 262-3030
Organization SubpartNo
Authorized OfficialLakeitha BakerCredentialing Supervisor · (954) 262-9416
Enumeration DateAugust 9, 2022
Last NPPES UpdateAugust 27, 2025
NPPES CertifiedAugust 27, 2025
✔ NPI 1083342109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedPsychologistTaxonomy 103T00000X
Also ListedPsychologist · CounselingTaxonomy 103TC1900X
Also ListedPsychologist · FamilyTaxonomy 103TF0000X
Also ListedPsychologist · Group PsychotherapyTaxonomy 103TP2701X
Also ListedMarriage & Family TherapistTaxonomy 106H00000X
3151 COLLEGE AVENUE, Davie, FL 33314
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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

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 10D2068721

Nova Southeastern University - Inim Em Papper Clinical Immunology Laboratory · Davie, FL
Active · expires Jun 24, 2028
CLIA Number10D2068721
Laboratory TypeIndependent
Certificate Effective DateJune 25, 2026
Certificate Expiration DateJune 24, 2028
Laboratory DirectorDr. Nancy Klimas
Laboratory Phone(954) 262-4335
Laboratory LocationNova Southeastern University - Inim Em Papper Clinical Immunology Laboratory3321 College Ave 4th Fl Ste 490, Davie, FL 33314
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 10D2319207

Nova Southeastern University Inc · Davie, FL
Active · expires Feb 24, 2027
CLIA Number10D2319207
Laboratory TypePhysician Office
Certificate Effective DateFebruary 25, 2025
Certificate Expiration DateFebruary 24, 2027
Laboratory DirectorNancy Klimas
Laboratory Phone(954) 262-2850
Laboratory LocationNova Southeastern University Inc3321 College Ave Suite 405, Davie, FL 33314
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GABRIELA CHANG
Student in an Organized Health Care Education/Training Program
3151 COLLEGE AVENUE
DAVIE, FL 33314
Broward County (561) 247-0568

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 Nova Southeastern University, Inc's NPI number?

The NPI number for Nova Southeastern University, Inc is 1083342109. It was assigned to this organization in the NPPES registry on August 9, 2022.

Where is Nova Southeastern University, Inc located?

Nova Southeastern University, Inc is located at 3151 College Avenue Maxwell Maltz Building 1st Floor, Davie, FL 33314. The listed phone number is (954) 262-3030.

What is Nova Southeastern University, Inc's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Does Nova Southeastern University, Inc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Nova Southeastern University, Inc was last updated on August 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.