NPIMap

Organization Active NPI

Health Psychology of Palm Beach LLC

  • Clinical Psychologist
  • West Palm Beach, FL
National Provider Identifier
1023310406
Registry record updated Nov 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
8071 Issued in FL
Legal business name
HEALTH PSYCHOLOGY OF PALM BEACH LLC
Practice address
712 Ardmore Rd
West Palm Beach, FL 33401-7630
Phone
(561) 373-0664
NPI assigned
Nov 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2010

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

Authorized official

Name
Carol Slonimski, PH.D.
Title
Owner
Phone
(561) 373-0664

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 8071 FL Primary

Addresses

Primary practice location

712 Ardmore Rd
West Palm Beach, FL 33401-7630

Mailing address

712 Ardmore Rd
West Palm Beach, FL 33401-7630
Phone (561) 373-0664

Other identifiers 1

IdentifierTypeStateIssuer
160483OtherAKMEDICARE ID TYPE UNSPECIFIED

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1289952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289952000000",
    "number": "1023310406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 ARDMORE RD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334017630",
            "telephone_number": "561-373-0664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 ARDMORE RD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334017630",
            "telephone_number": "561-373-0664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH PSYCHOLOGY OF PALM BEACH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-17",
        "last_updated": "2010-11-17",
        "status": "A",
        "authorized_official_last_name": "SLONIMSKI",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-373-0664",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "8071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID TYPE UNSPECIFIED",
            "identifier": "160483",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; 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.