HOLLYWOOD PSYCHOLOGY CENTER INC.
NPI 1811190978
Psychologist - Clinical in Hollywood, FL

Active since June 07, 2007
3595 SHERIDAN ST, #103, HOLLYWOOD, FL 33021(954) 981-8200 Get Directions Write a Review

NPPES record last updated: October 2, 2014. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Hollywood Psychology Center Inc. NPPES

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

HOLLYWOOD PSYCHOLOGY CENTER INC. (NPI 1811190978) is a healthcare organization registered as a clinical in Hollywood, Florida and active in the NPI registry since June 2007. The organization lists Andrew S Gast, Director, as its authorized official.

NPPES Registry Identity

NPI1811190978
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameHOLLYWOOD PSYCHOLOGY CENTER INC.
Location Address3595 SHERIDAN ST, #103Hollywood, FL 33021-3657
Mailing Address3595 Sheridan St, #103Hollywood, FL 33021-3657 · (954) 981-8200
Organization SubpartNo
Authorized OfficialAndrew S GastDirector · (954) 981-8200
Enumeration DateJune 7, 2007
Last NPPES UpdateOctober 2, 2014
✔ NPI 1811190978 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 · PY7707
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.
3595 SHERIDAN ST, Hollywood, FL 33021

Other Identifiers 1

Medicare UPINAG881

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)

Hollywood Psychology Center Inc. 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 Hollywood Psychology Center Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1942475090
3475 SHERIDAN ST SUITE 309
Hollywood, FL 33021
(954) 981-8200
✔ 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 Hollywood Psychology Center Inc.'s NPI number?

The NPI number for Hollywood Psychology Center Inc. is 1811190978. It was assigned to this organization in the NPPES registry on June 7, 2007.

Where is Hollywood Psychology Center Inc. located?

Hollywood Psychology Center Inc. is located at 3595 Sheridan St #103, Hollywood, FL 33021. The listed phone number is (954) 981-8200.

What is Hollywood Psychology Center Inc.'s specialty?

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

Is Hollywood Psychology Center Inc. enrolled in Medicare?

Yes. Hollywood Psychology Center Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Hollywood Psychology Center Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Hollywood Psychology Center 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 Hollywood Psychology Center Inc. was last updated on October 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.