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Authentic Behavioral Health, LLC

NPI 1487157715ActiveOrganization· Psychologist· Pembroke Pines, FL

Psychologist in Pembroke Pines, Florida, registered in NPPES in March 2018. The authorized official on file is Lydia Rosa Malcolm, PHD, Owner.

Overview

NPI1487157715
StatusActive
Entity typeOrganization
NPI issuedMar 13, 2018
Last updated in NPPESJan 12, 2022
Certified by providerJan 12, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Psychologist Primary103T00000XPY10094FL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Psychologist providers in Pembroke Pines

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