HOLLY A ACOSTA — NPI 1528596830 (Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Cognitive & Behavioral in SUNRISE, FL)

CMS-1500 Box 24J / 33a • NPI

1528596830

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

103TB0200X (CMS 62)

Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Cognitive & Behavioral

Box 32 Service Location & ZIP+4

440 SAWGRASS CORPORATE PKWY STE 106, SUNRISE, FL, 33325-6236

✓ 9-Digit EDI 837 ZIP+4 (33325-6236)

Practice Phone & Referral Fax

(954) 745-1112

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1528596830 (HOLLY A ACOSTA) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1528596830` (NPI-1 Individual Practitioner)
Provider / Legal Name	HOLLY A ACOSTA
Plain-English Specialty	Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Cognitive & Behavioral NUCC Code: `103TB0200X` (Psychologist, Cognitive & Behavioral)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	440 SAWGRASS CORPORATE PKWY STE 106, SUNRISE, FL, 33325-6236
Practice Telephone / Fax	Tel: (954) 745-1112
Administrative Mailing Address	440 SAWGRASS CORPORATE PKWY STE 106, SUNRISE, FL, 33325-6236
Enumeration & Last Sync	Enumerated: 2017-05-31 \| CMS Record Updated: 2017-05-31

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

440 SAWGRASS CORPORATE PKWY STE 106, SUNRISE, FL, 33325-6236

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Plain-English Taxonomy & CMS Crosswalk (103TB0200X)

What Does Taxonomy Code 103TB0200X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 103TB0200X translates to:
"Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Cognitive & Behavioral"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 62 (Psychologist, Clinical)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Psychologist, Cognitive & Behavioral for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (HOLLY A ACOSTA)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`103TB0200X` — Psychologist, Cognitive & Behavioral Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Cognitive & Behavioral	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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HOLLY A ACOSTA (NPI #1528596830)