Healthcare Provider Details

I. General information

NPI: 1144841727
Provider Name (Legal Business Name): CHALFIN PSYCHOLOGY SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2020
Last Update Date: 05/05/2020
Certification Date: 05/05/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7800 SW 57TH AVE STE 114
SOUTH MIAMI FL
33143-5543
US

IV. Provider business mailing address

12800 SW 70TH AVE
PINECREST FL
33156-6269
US

V. Phone/Fax

Practice location:
  • Phone: 305-588-4477
  • Fax:
Mailing address:
  • Phone: 305-799-2078
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TH0004X
TaxonomyHealth Psychologist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: SUSAN CHALFIN
Title or Position: PRESIDENT
Credential: PHD
Phone: 305-588-4477