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INDIVIDUALIZED PSYCHOLOGICAL RESOURCES, INC.
NPI 1780817627
Psychologist - Clinical in Fort Lauderdale, FL

Active since August 26, 2009
915 MIDDLE RIVER DR STE 307, FORT LAUDERDALE, FL 33304(954) 632-7260 Get Directions Write a Review

NPPES record last updated: August 26, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Individualized Psychological Resources, Inc. NPPES

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

INDIVIDUALIZED PSYCHOLOGICAL RESOURCES, INC. (NPI 1780817627) is a healthcare organization registered as a clinical in Fort Lauderdale, Florida and active in the NPI registry since August 2009. The organization lists Kity D. Laboriel, Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1780817627
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameINDIVIDUALIZED PSYCHOLOGICAL RESOURCES, INC.
Location Address915 MIDDLE RIVER DR STE 307Fort Lauderdale, FL 33304-3560
Mailing Address7476 Nw 18th DrPembroke Pines, FL 33024-1008 · (954) 964-2925
Phone(954) 632-7260
Organization SubpartNo
Authorized OfficialKity D. LaborielClinical Psychologist · (954) 964-2925
Enumeration DateAugust 26, 2009
✔ NPI 1780817627 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 · PY7215
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.
915 MIDDLE RIVER DR STE 307, Fort Lauderdale, FL 33304
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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, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Individualized Psychological Resources, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 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 IDO20100107000262Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Individualized Psychological Resources, Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Kity Laboriel, PSY.D.
Clinical Psychologist
NPI 1386874980
7476 NW 18TH DR
Pembroke Pines, FL 33024
(954) 964-2925
✔ PECOS✔ Accepts Medicare11 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 Individualized Psychological Resources, Inc.'s NPI number?

The NPI number for Individualized Psychological Resources, Inc. is 1780817627. It was assigned to this organization in the NPPES registry on August 26, 2009.

Where is Individualized Psychological Resources, Inc. located?

Individualized Psychological Resources, Inc. is located at 915 Middle River Dr Ste 307, Fort Lauderdale, FL 33304. The listed phone number is (954) 632-7260.

What is Individualized Psychological Resources, Inc.'s specialty?

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

Is Individualized Psychological Resources, Inc. enrolled in Medicare?

Yes. Individualized Psychological Resources, Inc. is registered in the Medicare PECOS enrollment system.

When is Individualized Psychological Resources, Inc.'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 January 31, 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 Individualized Psychological Resources, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Individualized Psychological Resources, Inc.. 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 Individualized Psychological Resources, Inc. was last updated on August 26, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.