CHILD NEUROLOGY LLC – NPI #1710924956
Psychiatry & Neurology

A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.

CHILD NEUROLOGY LLC is a psychiatry & neurologist located in HOLLYWOOD, FL. NPPES has assigned the NPI number 1710924956 to CHILD NEUROLOGY LLC on May 31, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2084N0402X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology

The NPI profile was previously updated about 18 years ago on May 16, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHILD NEUROLOGY LLC below.

NPI Profile for
CHILD NEUROLOGY LLC

NPI Number
1710924956
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CHILD NEUROLOGY LLC
Primary location
4440 SHERIDAN STREET
HOLLYWOOD, FL 33021
Phone: (954) 961-2423 Fax: (954) 961-4860
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TATYANA DUBROVSKY
MANAGER OF THE CHILD NEUROLOGY LLC
Phone: (954) 961-2423
Updated
Identifiers

Identifiers for CHILD NEUROLOGY LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBLUE CROSS BLUE SHIELDFL77841
OTHERFL NETPASSFL276469500
OTHERPEDIATRIC ASSOCIATES PSNFL276469500
MEDICAIDFL276469500
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2084N0402X
- Psychiatry & Neurology / Neurology with Special Qualifications in Child Neurology (Primary)
FL ME70907

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.