PHYSICIANS MEDICAL ASSOCIATES LLC NPI 1073748695

NPI Information

  • NPI: 1073748695
  • Provider Name: PHYSICIANS MEDICAL ASSOCIATES, LLC
  • Classification: Psychologist - 103TP2701X
  • Specialization: Group Psychotherapy
  • Entity Type: Organization
  • Address: 4905 LANTANA RD
    LAKE WORTH, FL
    ZIP 33463
  • Phone: (954) 587-7771

Map and Directions

Get Directions

NPI Details

PHYSICIANS MEDICAL ASSOCIATES, LLC is a group psychotherapy psychologist in Lake Worth, FL. The provider is 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. PHYSICIANS MEDICAL ASSOCIATES, LLC NPI is 1073748695. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4905 LANTANA RD
LAKE WORTH, FL
ZIP 33463-915
Phone: (954) 587-7771
Fax: (954) 208-5770

The provider's authorized official is Bill Russell .
The authorized official title is Ceo and has the following contact phone number (954) 587-7771.

The enumeration date for this NPI number is 5/27/2009 and was last updated on 9/22/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthNo
2103TB0200XPsychologistCognitive & BehavioralNo
32084P0800XPsychiatry & NeurologyPsychiatryNo
4225700000XMassage TherapistNo
51041C0700XSocial WorkerClinicalNo
6133V00000XDietitian, RegisteredNo
7171100000XAcupuncturistNo
8111N00000XChiropractorNo
9103TP2701XPsychologistGroup PsychotherapyME57901FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI