DR. COURTNEY CANTRELL
NPI 1740652072
Psychologist - Clinical in Wilton Manors, FL

Q: What is Courtney Cantrell's NPI number?

The NPI number for Courtney Cantrell is 1740652072. It was assigned to this individual provider in the NPPES registry on October 26, 2015.

Q: What is Courtney Cantrell's specialty?

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

Q: Is Courtney Cantrell enrolled in Medicare?

No. Courtney Cantrell has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Courtney Cantrell was last updated on June 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since October 26, 2015Opted out of Medicare · through Oct 1, 2027

1650 NE 26TH ST STE 201, WILTON MANORS, FL 33305(954) 947-8580(954) 947-8582 Get Directions Write a Review

NPPES record last updated: June 11, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 11, 2019, May 6, 2019, Nov 14, 2015 (3 updates tracked since 2015).

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About Dr. Courtney Cantrell NPPES

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

DR. COURTNEY CANTRELL (NPI 1740652072) is an individual clinical provider in Wilton Manors, Florida, licensed in Florida (PY9428) and active in the NPI registry since October 2015. She has opted out of Medicare through October 1, 2027.

NPPES Registry Identity

NPI1740652072

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. COURTNEY CANTRELL

Location Address1650 NE 26TH ST STE 201Wilton Manors, FL 33305-1431

Mailing Address1650 Ne 26th St Ste 201Wilton Manors, FL 33305-1431 · (954) 947-8580 · Fax (954) 947-8582

Phone(954) 947-8580

Fax(954) 947-8582

Sole ProprietorYes

Enumeration DateOctober 26, 2015

Last NPPES UpdateJune 11, 20193 updates tracked since enumeration

✔ NPI 1740652072 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 · PY9428

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.

1650 NE 26TH ST STE 201, Wilton Manors, FL 33305

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Courtney Cantrell has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2023 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2023

Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 5

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

COASTAL BEHAVIORAL HEALTH LLC

Psychologist