Central Florida Psychological Ser Inc

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY 3854 Issued in FL

Legal business name

CENTRAL FLORIDA PSYCHOLOGICAL SER INC

Practice address

204 N Park Ave Ste 100
Sanford, FL 32771-1293

Phone

(407) 330-0418

Fax

(407) 321-0059

NPI assigned

Dec 19, 2006

Last updated

Sep 12, 2019By 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. Susan Cherie Sult, PH. D.NPI 1689737769

Title

President

Phone

(407) 330-0418

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

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.

• Susan Cherie Sult, PH. D.

  • Psychologist
  • Sanford, FL
  • NPI 1689737769
  Medicare reassignment NPD Authorized official
• Shannon Sweeney, LMFT

  • Marriage & Family Therapist
  • Sanford, FL
  • NPI 1699828137
  NPD
• Allison Renee Hornback, L.C.S.W.

  • Social Worker
  • Sanford, FL
  • NPI 1114081445
  NPD (past)

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568246400000",
    "number": "1033272133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2524",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327722524",
            "telephone_number": "407-330-0418",
            "fax_number": "407-321-0059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 N PARK AVE STE 100",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327711293",
            "telephone_number": "407-330-0418",
            "fax_number": "407-321-0059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL FLORIDA PSYCHOLOGICAL SER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2019-09-12",
        "status": "A",
        "authorized_official_last_name": "SULT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "CHERIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-330-0418",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH. D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY 3854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Central Florida Family Health Center, Inc. (True Health)
• Central Florida Family Health Center, Inc. (True Health)
• Central Florida Family Health Center, Inc. (True Health)
• Central Florida Physician Network LLC
• Central Florida Physician Network LLC
• Central Florida Regional Hospital
• Central Florida Regional Hospital, Inc (HCA Florida Lake Monroe Hospital)
• Central Florida Regional Hospital, Inc (HCA Florida Lake Monroe Hospital)
• Central Florida Regional Hospital, Inc (HCA Florida Lake Monroe Hospital)
• Central Florida Regional Hospital, Inc. (HCA Florida Heathrow Emergency, a department of HCA Florida Lake Monroe Hospital)

• Psychologist in Sanford, FL
• Providers in Sanford, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.