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

Daniel S Mirtenbaum, EDM, PSYD

Individual provider Clinical Psychologist · NPI 1649799073

Daniel S Mirtenbaum, EDM, PSYD is a Clinical Psychologist in Fort Lauderdale, Florida. Qualified in 2016, 10 years ago. Practices with Institute for Family Therapy, Inc, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
10
Licensed in
FL
In the registry since
2017
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

1848 SE 1st Ave
Fort Lauderdale, FL 33316-2875
Phone: (954) 885-9500
Show map & directions

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

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PY9965 (FL)

Record details

NPI number1649799073
Entity typeIndividual (Type 1)
GenderMale
Credentials EDM , PSYD
Sole proprietorYes
NPI enumeratedSeptember 18, 2017
Last updated in NPPESJuly 21, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Institute For Family Therapy, Inc. — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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