BREVARD PSYCHOLOGICAL ASSOCIATES INC NPI 1518351824

NPI Information

  • NPI: 1518351824
  • Provider Name: BREVARD PSYCHOLOGICAL ASSOCIATES, INC
  • Classification: Psychologist - 103TC1900X
  • Specialization: Counseling
  • Entity Type: Organization
  • Former Legal Business Name: TIMOTHY C. SHORT, PSY. D
  • Address: 1611 S APOLLO BLVD
    MELBOURNE, FL
    ZIP 32901
  • Phone: (321) 724-2444

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NPI Details

BREVARD PSYCHOLOGICAL ASSOCIATES, INC is a counseling psychologist in Melbourne, FL. The provider is a psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms. BREVARD PSYCHOLOGICAL ASSOCIATES, INC NPI is 1518351824. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is Timothy C. Short, Psy. D.

The provider's business location address is:

1611 S APOLLO BLVD
MELBOURNE, FL
ZIP 32901-407
Phone: (321) 724-2444
Fax: (321) 952-4131

The provider's authorized official is Timothy C Short, Psy. D .
The authorized official title is Owner and has the following contact phone number (321) 724-2444.

The enumeration date for this NPI number is 3/25/2015 and was last updated on 3/25/2015.

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
1103TC1900XPsychologistCounselingPY4790FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
159348OTHERFLORIDABLUE CROSS BLUE SHIELT OF FLORIDA
259348MEDICARE PINFLORIDA
3611051700OTHERFLORIDAWORKERS COMPENSATION

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: 3/30/2025

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