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PSYCHIATRIC SERVICES OF DAYTONA PLCC NPI 1891373601


NPI Information

NPI: 1891373601
Provider Name: PSYCHIATRIC SERVICES OF DAYTONA, PLCC
Classification: Psychologist - 103TP0016X
Entity Type: Organization

Specialization: Prescribing (Medical)

Address:
1651 N CLYDE MORRIS BLVD STE 1
DAYTONA BEACH, FL
ZIP 32117
Phone: (386) 265-5512
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PSYCHIATRIC SERVICES OF DAYTONA, PLCC is a prescribing (medical) psychologist in Daytona Beach, FL. The provider is a licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended. PSYCHIATRIC SERVICES OF DAYTONA, PLCC NPI is 1891373601. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1651 N CLYDE MORRIS BLVD STE 1
DAYTONA BEACH, FL
ZIP 32117-500
Phone: (386) 265-5512

The provider's authorized official is Gary Frick .
The authorized official title is Ceo and has the following contact phone number (386) 265-5512.

The enumeration date for this NPI number is 4/1/2021 and was last updated on 4/1/2021.


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
1103TP0016XPsychologistPrescribing (Medical)Yes

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: 5/5/2024

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.