DR. CECILIA THERESA DEIDAN PHD
NPI 1396757506
Clinical Neuropsychologist in Pembroke Pines, FL
NPI Status: Active since August 13, 2006
Contact Information
18459 PINES BLVD
#324
PEMBROKE PINES, FL
ZIP 33029
Phone: (954) 266-8037
- Individual
- Female
- Clinical Neuropsychologist
- PECOS Enrolled
About CECILIA DEIDAN
This page provides the complete NPI Profile along with additional information for Cecilia Deidan, a provider established in Pembroke Pines, Florida with a medical specialization in Clinical Neuropsychologist. The healthcare provider is registered in the NPI registry with number 1396757506 assigned on August 2006. The practitioner's primary taxonomy code is 103G00000X with license number PY0004983 (FL). The provider is registered as an individual and her NPI record was last updated 4 years ago.
- NPI
- 1396757506
- Provider Name
- DR. CECILIA THERESA DEIDAN PHD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 18459 PINES BLVD #324 PEMBROKE PINES, FL 33029
- Location Phone
- (954) 266-8037
- Mailing Address
- 18459 PINES BLVD #324 PEMBROKE PINES, FL 33029
- Mailing Phone
- (954) 266-8037
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-13-2006
- Last Update Date
- 03-19-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinical Neuropsychologist
- Taxonomy Code
- 103G00000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- PY0004983
- License State
- FL
- Taxonomy Description
- A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 103T00000X | Behavioral Health & Social Service Providers | Psychologist | PY0004983 (FL) |
Medicare Participation & PECOS Enrollment Status
Cecilia Deidan is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Reviews for DR. CECILIA THERESA DEIDAN PHD
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 9 | 6 | 7 | 5 | 7 | 5 | 0 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 18 | 6 | 14 | 5 | 14 | 5 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 8 + 6 + 1 + 4 + 5 + 1 + 4 + 5 + 0 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1396757506 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1851622328 | ELITE DIAGNOSTICS I INC Organization | Clinical Medical Laboratory | 18459 PINES BLVD SUITE 119 PEMBROKE PINES, FL 33029 (954) 862-1432 |
| 1649546664 | DR. SUSAN A. OSSAKOW DO Individual | Psychiatry & Neurology (Psychiatry) | 18459 PINES BLVD PEMBROKE PINES, FL 33029 (305) 968-2262 |
| 1760584825 | SPEECH PATHOLOGY CONSULTANT GROUP, INC. Organization | Speech-Language Pathologist | 18459 PINES BLVD 124 PEMBROKE PINES, FL 33029 (954) 437-0029 |
| 1588932289 | PRIMARY CARE PROVIDERS OF AMERICA, LLC Organization | Internal Medicine | 18459 PINES BLVD #213 PEMBROKE PINES, FL 33029 (954) 990-0595 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1396757506, enumerated in the NPI registry as an "individual" on August 13, 2006
The provider is located at 18459 Pines Blvd #324 Pembroke Pines, Fl 33029 and the phone number is (954) 266-8037
The provider's speciality is Clinical Neuropsychologist with taxonomy code 103G00000X
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
This NPI record was last updated on August 13, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.