Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Childrens Diagnostic & Treatment Center Inc

Organization Psychologist · NPI 1225254535

Childrens Diagnostic & Treatment Center Inc is a Psychologist in Fort Lauderdale, Florida. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
8
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1401 S Federal Hwy
Fort Lauderdale, FL 33316-2619
Phone: (954) 728-8080
Fax: (954) 779-1957
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Early Intervention Provider Agency (primary) Taxonomy 252Y00000X
Psychologist Taxonomy 103T00000X
Pediatrics Physician Taxonomy 208000000X
Occupational Therapy Assistant Taxonomy 224Z00000X
Physical Therapist Taxonomy 225100000X
Occupational Therapist Taxonomy 225X00000X
Audiology Assistant Taxonomy 2355A2700X
Speech-Language Pathologist Taxonomy 235Z00000X

Record details

NPI number1225254535
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ana Calderon Randazzo — Administrator · (954) 728-1060
Other names Eip Professional; Eip Professional
NPI enumeratedApril 17, 2007
Last updated in NPPESApril 1, 2024
Certification dateApril 1, 2024
Mailing address1700 Nw 49th St Ste 125, Fort Lauderdale, FL 33309-3750

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