PALMWOOD CENTER FOR PSYCHOLOGICAL SERVICES, P.A.
NPI 1306055942
Psychologist - Clinical in Sunrise, FL

Active since May 21, 2007
8890 W OAKLAND PARK BLVD, SUITE #103, SUNRISE, FL 33351(954) 742-7032(954) 742-7868 Get Directions Write a Review

NPPES record last updated: April 27, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Palmwood Center For Psychological Services, P.a. NPPES

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

PALMWOOD CENTER FOR PSYCHOLOGICAL SERVICES, P.A. (NPI 1306055942) is a healthcare organization registered as a clinical in Sunrise, Florida and active in the NPI registry since May 2007. The organization lists Alec Roth, Licensed Psychologist, as its authorized official.

NPPES Registry Identity

NPI1306055942
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NamePALMWOOD CENTER FOR PSYCHOLOGICAL SERVICES, P.A.
Location Address8890 W OAKLAND PARK BLVD, SUITE #103Sunrise, FL 33351-7235
Mailing Address8890 W Oakland Park Blvd, Suite #103Sunrise, FL 33351-7235 · (954) 742-7032 · Fax (954) 742-7868
Fax(954) 742-7868
Organization SubpartNo
Authorized OfficialAlec RothLicensed Psychologist · (954) 742-7032
Enumeration DateMay 21, 2007
Last NPPES UpdateApril 27, 2011
✔ NPI 1306055942 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 · PY0004153
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.
8890 W OAKLAND PARK BLVD, Sunrise, FL 33351

Other Identifiers 2

Medicare ID-Type Unspecified73437FL · Marlene Gray, Psy.d.
Medicare ID-Type Unspecified59374FL · Alec Roth, Ph.d.

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Palmwood Center For Psychological Services, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateFloridaEnrollment IDO20110701000092Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Palmwood Center For Psychological Services, P.A., which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Clinical Psychologist
NPI 1235781873
8890 W OAKLAND PARK BLVD
Sunrise, FL 33351
(954) 742-7032
✔ PECOS✔ Accepts Medicare0.1 mi
Clinical Psychologist
NPI 1780670539
8890 W OAKLAND PARK BLVD SUITE #103
Sunrise, FL 33351
(954) 742-7032
✔ PECOS✔ Accepts Medicare0.1 mi
Clinical Psychologist
NPI 1306832027
8890 W OAKLAND PARK BLVD SUITE #103
Sunrise, FL 33351
(954) 742-7032
✔ PECOS✔ Accepts Medicare0.1 mi
Clinical Psychologist
NPI 1154703619
55 N GILBERT ST BUILDING 4, SUITE 4101
Tinton Falls, NJ 07701
(732) 842-4751
✔ PECOS✔ Accepts Medicare1,039 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 Palmwood Center For Psychological Services, P.A.'s NPI number?

The NPI number for Palmwood Center For Psychological Services, P.A. is 1306055942. It was assigned to this organization in the NPPES registry on May 21, 2007.

Where is Palmwood Center For Psychological Services, P.A. located?

Palmwood Center For Psychological Services, P.A. is located at 8890 W Oakland Park Blvd Suite #103, Sunrise, FL 33351. The listed phone number is (954) 742-7032.

What is Palmwood Center For Psychological Services, P.A.'s specialty?

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

Is Palmwood Center For Psychological Services, P.A. enrolled in Medicare?

Yes. Palmwood Center For Psychological Services, P.A. is registered in the Medicare PECOS enrollment system.

When is Palmwood Center For Psychological Services, P.A.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Palmwood Center For Psychological Services, P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Clinical Psychologist, reassign their Medicare billing to Palmwood Center For Psychological Services, P.A.. 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, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Palmwood Center For Psychological Services, P.A. accept?

Health plans from Wellpoint list Palmwood Center For Psychological Services, P.A. 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 Palmwood Center For Psychological Services, P.A. was last updated on April 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.