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PSYCHOLOGY ASSOCIATES OF BREVARD PLC NPI 1922200278


NPI Information

NPI: 1922200278
Provider Name: PSYCHOLOGY ASSOCIATES OF BREVARD PLC
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
6767 N WICKHAM RD
SUITE 306
MELBOURNE, FL
ZIP 32940
Phone: (321) 751-1925
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PSYCHOLOGY ASSOCIATES OF BREVARD PLC is a clinical psychologist in Melbourne, FL. The provider is 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. PSYCHOLOGY ASSOCIATES OF BREVARD PLC NPI is 1922200278. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

6767 N WICKHAM RD
SUITE 306
MELBOURNE, FL
ZIP 32940-031
Phone: (321) 751-1925
Fax: (321) 751-9261

The provider's authorized official is Patty Heller .
The authorized official title is Office Manager and has the following contact phone number (321) 751-1925.

The enumeration date for this NPI number is 5/31/2007 and was last updated on 3/7/2012.


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 HealthMH5001FLORIDANo
2101YM0800XCounselorMental HealthMH3865FLORIDANo
3103G00000XClinical NeuropsychologistPY7627FLORIDANo
4103TC0700XPsychologistClinicalPY4859FLORIDANo
52084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryME79036FLORIDANo
62084P0800XPsychiatry & NeurologyPsychiatryNo
7103TC0700XPsychologistClinicalPY2592FLORIDAYes

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
1K1332MEDICARE ID-TYPE UNSPECIFIEDFLORIDASHAPIRO, P.A.
259328YMEDICARE ID-TYPE UNSPECIFIEDFLORIDAROBERT J. SHAPIRO, PH.D.

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.