MEDICARE: INNOVATIVE PSYCH SOLUTIONS, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1689184186
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INNOVATIVE PSYCH SOLUTIONS, INC

Provider Business Mailing Address
First Line	:	110 SE 6TH ST STE 1900
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33301-5005
Country	:	US
Telephone Number	:	877-460-7701
Fax Number	:

Provider Business Practice Location Address
First Line	:	110 SE 6TH ST STE 1900
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33301-5005
Country	:	US
Telephone Number	:	877-460-7701
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JOSEPH DAWSON
Credential	:
Telephone Number	:	954-947-5399

Provider Enumeration Date	:	10/10/2017
Last Update Date	:	11/10/2017

Similar Medicare Providers

1144183005 — SIAH HEALTH SERVICES
Practice Location Address:

8104 SW 23RD ST # 28D
NORTH LAUDERDALE, FL
33068-5005

Practice Phone: 954-800-3685
Practice Fax:

1780567768 — DR. RALPH MARTIN ELIE PHARMD
Practice Location Address:

2686 SW 36TH ST
FT LAUDERDALE, FL
33312-5005

Practice Phone: 954-455-3822
Practice Fax:

1538165469 — DR. WALTER D BERKOWITZ M.D.
Practice Location Address:

2200 FLETCHER AVE
FORT LEE, NJ
07024-5005

Practice Phone: 201-461-6200
Practice Fax: 201-461-7204

1063418994 — DR. NATHANIEL E LEBOWITZ M.D.
Practice Location Address:

2200 FLETCHER AVE
FORT LEE, NJ
07024-5005

Practice Phone: 201-461-6200
Practice Fax: 201-461-7204

1770589608 — DR. JACQUELINE HOLLYWOOD M.D.
Practice Location Address:

2200 FLETCHER AVE
FORT LEE, NJ
07024-5005

Practice Phone: 201-461-6200
Practice Fax: 201-461-7204

1760488696 — DR. DIANE ZANGER M.D.
Practice Location Address:

2200 FLETCHER AVE
FORT LEE, NJ
07024-5005

Practice Phone: 201-461-6200
Practice Fax: 201-461-7204

Directions to “INNOVATIVE PSYCH SOLUTIONS, INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.