Active NPI
Paul Bryan, PHD
- Psychologist
- Palm Springs, FL
National Provider Identifier
1013064237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY000389
- Practice address
- 3865 10TH Ave N
Palm Springs, FL 33461-2853 - Phone
- (561) 966-8423
- Fax
- (561) 966-8424
- NPI assigned
- Jan 3, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PY000389 | FL | Primary |
Addresses
Primary practice location
3865 10TH Ave N
Palm Springs, FL 33461-2853
Mailing address
3865 10TH Ave N
Palm Springs, FL 33461-2853
Phone (561) 966-8423
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY000389 | FL | MD | Psychologist |
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257379200000",
"number": "1013064237",
"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": {
"last_name": "BRYAN",
"first_name": "PAUL",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-03",
"last_updated": "2009-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "FL",
"license": "PY000389",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Springs, FL
Sources for this page
- 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.