MEMORIAL DIVISION OF REHABILITATIVE PSYCHOLOGY
NPI 1245656792
Clinical Neuropsychologist in Hollywood, FL
About Memorial Division Of Rehabilitative Psychology NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MEMORIAL DIVISION OF REHABILITATIVE PSYCHOLOGY (NPI 1245656792) is a healthcare organization registered as a clinical neuropsychologist in Hollywood, Florida and active in the NPI registry since March 2014. The organization lists Esther Surujon, Cfo Memorial Physician Group & Mpc, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
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)
Memorial Division Of Rehabilitative Psychology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Memorial Division Of Rehabilitative Psychology, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Medical Equipment Supplier Medicare DMEPOS 6
Medicare supplier enrollment and the product categories Memorial Regional Hospital South Ph carries, from the Medicare DMEPOS supplier directory.
Memorial Regional Hospital South Ph
DMEPOS supplier · Pembroke Pines, FLOperated by South Broward Hospital DistrictAccepts Medicare assignment
Memorial Regional Hospital South Ph agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Product Categories
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 1245656792. It was assigned to this organization in the NPPES registry on March 7, 2014. The provider is doing business as Memorial Division Of Rehabilitative Psychology.
Where is South Broward Hospital District located?
South Broward Hospital District is located at 3600 Washington St Ste 311, Hollywood, FL 33021. The listed phone number is (954) 518-5507.
What is South Broward Hospital District's specialty?
The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.
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), 4 clinicians, all in Clinical Psychologist, 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does South Broward Hospital District accept Medicare assignment for medical equipment?
Yes. As a Medicare medical equipment supplier, Memorial Regional Hospital South Ph accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.
What insurance does South Broward Hospital District accept?
Health plans from 22 Health, Ambetter Health, Ambetter of Alabama and Molina Healthcare 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 June 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Memorial Division Of Rehabilitative Psychology · NPI 1245656792
Clinical Neuropsychologist organization in Hollywood, Florida. Organization record, active in the CMS NPPES registry since March 7, 2014.
## Identity
- **NPI:** 1245656792 (Entity type: Organization)
- **Enumerated:** March 7, 2014
- **Primary specialty:** Clinical Neuropsychologist · taxonomy 103G00000X
- **Legal business name:** South Broward Hospital District
- **Organization subpart:** Yes (part of South Broward Hospital District)
- **Authorized official:** Esther Surujon, CFO MEMORIAL PHYSICIAN GROUP & MPC
## Practice location
- **Address:** 3600 WASHINGTON ST STE 311, Hollywood, FL 33021-8216
- **Phone:** (954) 518-5507 · **Fax:** (954) 518-5510
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians (Clinical Psychologist) reassign Medicare billing to this organization (form CMS-855R); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 20, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1245656792) · Data from the CMS NPPES public registry.