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SOUTHEAST PSYCHOLOGICAL CONSULTING LLC NPI 1710942347


NPI Information

NPI: 1710942347
Provider Name: SOUTHEAST PSYCHOLOGICAL CONSULTING, LLC
Classification: Psychologist - 103T00000X
Entity Type: Organization
Address:
4723B NW 53RD AVE, SUITE B
SOUTHEAST PSYCHOLOGICAL CONSULTING LLC
GAINESVILLE, FL
ZIP 32653
Phone: (352) 338-0077
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SOUTHEAST PSYCHOLOGICAL CONSULTING, LLC is a psychologist in Gainesville, FL. The provider is a psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. SOUTHEAST PSYCHOLOGICAL CONSULTING, LLC NPI is 1710942347. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4723B NW 53RD AVE, SUITE B
SOUTHEAST PSYCHOLOGICAL CONSULTING LLC
GAINESVILLE, FL
ZIP 32653
Phone: (352) 338-0077
Fax: (352) 372-6910

The provider's authorized official is Helen Elizabeth Cadiz .
The authorized official title is Phd Licensed Psychologist/owner and has the following contact phone number (352) 338-0077.

The enumeration date for this NPI number is 4/18/2006 and was last updated on 12/1/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TA0400XPsychologistAddiction (Substance Use Disorder)PY5139FLORIDANo
2103TC1900XPsychologistCounselingNo
3103TE1100XPsychologistExercise & SportsNo
4103TC0700XPsychologistClinicalNo
5103TF0200XPsychologistForensicNo
6103T00000XPsychologistNo
7103TP0814XPsychologistPsychoanalysisNo
8103T00000XPsychologistPY5139FLORIDAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
159638MEDICARE ID-TYPE UNSPECIFIEDFLORIDA
2Q0619MEDICARE PINFLORIDA

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: 11/14/2023

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.