Woodlake Psychological Associates, P.a.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

PY0003895 Issued in FL

Legal business name

WOODLAKE PSYCHOLOGICAL ASSOCIATES, P.A.

Practice address

3865 10TH Ave N
Palm Springs, FL 33461-2853

Phone

(561) 966-8423

Fax

(561) 966-8424

NPI assigned

Nov 5, 2009

Last updated

Nov 5, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Paul E Bryan Jr., PH.D.NPI 1013064237

Title

Owner/President

Phone

(561) 966-8423

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Paul Bryan, PHD

  • Psychologist
  • Palm Springs, FL
  • NPI 1013064237
  Authorized official Same address or phone
• Raul Diaz, PH.D.

  • Clinical Psychologist
  • Lake Worth, FL
  • NPI 1831132703
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1257379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257379200000",
    "number": "1003143447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3865 10TH AVE N",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334612853",
            "telephone_number": "561-966-8423",
            "fax_number": "561-966-8424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3865 10TH AVE N",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334612853",
            "telephone_number": "561-966-8423",
            "fax_number": "561-966-8424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLAKE PSYCHOLOGICAL ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-05",
        "last_updated": "2009-11-05",
        "status": "A",
        "authorized_official_last_name": "BRYAN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "561-966-8423",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "PY0003895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nejahlee Williams
• Gabrielle Elizabeth Winchester, LCSW, CAP
• Shelby Wingate
• Richard Joseph Wix Ramos, MD.
• Women's Care Florida LLC
• Y&M Heart Health Services Inc
• Yahuahs Essence Enrichmentcommunity Program
• Melinda Elena Young, PTA
• Katherine Yount, M.ED
• Keith Yu, DC

• Community/Behavioral Health Agency in Palm Springs, FL
• Providers in Palm Springs, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.