LIGHTHOUSE PSYCHOLOGISTS LLC
NPI 1598022451
Psychologist - Clinical in Hollywood, FL

Active since April 17, 2012
2450 HOLLYWOOD BLVD, SUITE 200A, HOLLYWOOD, FL 33020(954) 667-7176 Get Directions Write a Review

NPPES record last updated: March 21, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lighthouse Psychologists Llc NPPES

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

LIGHTHOUSE PSYCHOLOGISTS LLC (NPI 1598022451) is a healthcare organization registered as a clinical in Hollywood, Florida and active in the NPI registry since April 2012. The organization lists Patricia Jaegerman, Owner, as its authorized official.

NPPES Registry Identity

NPI1598022451
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameLIGHTHOUSE PSYCHOLOGISTS LLC
Location Address2450 HOLLYWOOD BLVD, SUITE 200AHollywood, FL 33020-6619
Mailing Address2450 Hollywood Blvd, Suite 200aHollywood, FL 33020-6619 · (954) 667-7176
Organization SubpartNo
Authorized OfficialPatricia JaegermanOwner · (954) 667-7176
Enumeration DateApril 17, 2012
Last NPPES UpdateMarch 21, 2016
✔ NPI 1598022451 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 · PY7141
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.
2450 HOLLYWOOD BLVD, Hollywood, FL 33020

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lighthouse Psychologists Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Lighthouse Psychologists LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1316272677
2450 HOLLYWOOD BLVD SUITE 200A
Hollywood, FL 33020
(954) 667-7176
✔ PECOS✔ Accepts MedicareSame address

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 Lighthouse Psychologists LLC's NPI number?

The NPI number for Lighthouse Psychologists LLC is 1598022451. It was assigned to this organization in the NPPES registry on April 17, 2012.

Where is Lighthouse Psychologists LLC located?

Lighthouse Psychologists LLC is located at 2450 Hollywood Blvd Suite 200A, Hollywood, FL 33020. The listed phone number is (954) 667-7176.

What is Lighthouse Psychologists LLC's specialty?

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

Is Lighthouse Psychologists LLC enrolled in Medicare?

Yes. Lighthouse Psychologists LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lighthouse Psychologists LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Lighthouse Psychologists LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Lighthouse Psychologists LLC was last updated on March 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.