1. Home
  2. Directory
  3. Florida
  4. Hollywood
  5. Clinical Neuropsychologist
  6. NPI Profile

MEMORIAL DIVISION OF REHABILITATIVE PSYCHOLOGY
NPI 1245656792
Clinical Neuropsychologist in Hollywood, FL

Active since March 07, 2014
3600 WASHINGTON ST STE 311, HOLLYWOOD, FL 33021(954) 518-5507(954) 518-5510 Get Directions Write a Review

NPPES record last updated: June 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 20, 2023, May 12, 2023, Sep 28, 2019 (3 updates tracked since 2019).

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

NPI1245656792
Entity TypeOrganization
Primary Taxonomy103G00000X
Legal Business NameSOUTH BROWARD HOSPITAL DISTRICT
Location Address3600 WASHINGTON ST STE 311Hollywood, FL 33021-8216
Mailing Address2900 Corporate Way, Door DMiramar, FL 33025-3925 · (954) 265-5685 · Fax (954) 985-7074
Phone(954) 518-5507
Fax(954) 518-5510
Organization SubpartYes
Authorized OfficialEsther SurujonCfo Memorial Physician Group & Mpc · (954) 265-6677
Enumeration DateMarch 7, 2014
Last NPPES UpdateJune 20, 20233 updates tracked since enumeration
NPPES CertifiedJune 20, 2023
✔ NPI 1245656792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
3600 WASHINGTON ST STE 311, Hollywood, FL 33021
Open in Google Maps ↗

Other Names 1

Doing Business AsMemorial Division Of Rehabilitative Psychology

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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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 District
✔

Accepts 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.

PTAN (Medicare Supplier Number)20347331
Medicare Participant SinceJanuary 1, 2024
Supplier Location777 S Douglas RdPembroke Pines, FL 33025
Phone(954) 518-5675
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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.

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 Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed 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.