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NPISignal

Individual Healthcare Provider

Roger J Lavine, PSYD.

NPI Record: ActivePsychologist — Clinical
NPI1336784875
Lauderdale by the Sea, Florida

Provider's NPPES record last updated: November 7, 2019

Overview

Entity Type
Individual Healthcare Provider
NPI
1336784875
Primary Specialty
Psychologist — Clinical
Practice Location
Lauderdale by the Sea, Florida
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 8:57 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Psychologist

    Clinical

    Behavioral Health & Social Service Providers

    Primary

    A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

    Taxonomy code 103TC0700X
  • Psychologist

    Exercise & Sports

    Behavioral Health & Social Service Providers

    A psychologist with a proficiency in sports psychology that uses psychological knowledge and skills to address optimal performance and well-being of athletes, developmental and social aspects of sports participation, and systemic issues associated with sports settings and organizations. APA recognizes sport psychology as a proficiency acquired after a doctoral degree in one of the primary areas of psychology and licensure as a psychologist. This proficiency does not include those who have earned a doctoral degree in sport psychology but are not licensed psychologists. Sport Psychology interventions are designed to assist athletes and other sports participants (e.g., coaches, administrators, parents) from a wide array of settings, levels of competition, and ages, ranging from recreational youth participants to professional and Olympic athletes to master's level performers.

    Taxonomy code 103TE1100X
  • Psychologist

    Family

    Behavioral Health & Social Service Providers

    A psychologist whose specialty is founded on principles of systems theory with the interpersonal system of the family the focus of assessment, intervention and research.

    Taxonomy code 103TF0000X
  • Psychologist

    Group Psychotherapy

    Behavioral Health & Social Service Providers

    A psychologist who specializes in group psychology and group psychotherapy that is an evidenced-based specialty that prepares group leaders to identify and capitalize on developmental and healing possibilities embedded in the interpersonal/intrapersonal functioning of individual group members as well as collectively for the group. Emphasis is placed on the use of group dynamics to assist and treat individual group members. The specialty is applicable to all age groups, children, adolescents, adults and older adults, for a wide variety of conditions and concerns, and in numerous and diverse settings.

    Taxonomy code 103TP2701X

Provider-Reported License Information

Psychologist (Florida)
PY10647
Psychologist (Florida)
PY10647
Psychologist (Florida)
PY10647
Psychologist (Florida)
PY10647
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

222 Commercial Blvd Ste 200

Lauderdale by the Sea, Florida 33308-4483

Phone: (954) 716-6702

Record Information

Enumeration Date
November 7, 2019
Provider's NPPES Record Last Updated
November 7, 2019
NPISignal NPPES Dataset
August 2026

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