Organization Active NPI

Camellia a Westwell Psy D PA

  • Psychologist
  • Melbourne, FL
National Provider Identifier
1043483241
Registry record updated Aug 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY6451 Issued in FL
Legal business name
CAMELLIA A WESTWELL PSY D PA
Practice address
1370 Bedford Dr
Suite 102
Melbourne, FL 32940-1993
Phone
(321) 757-6321
NPI assigned
Apr 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2008

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

Authorized official

Name
Dr. Camellia Ann Westwell, PSY D
Title
Psychologist
Phone
(321) 242-8413

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PY6451 FL Primary

Addresses

Primary practice location

1370 Bedford Dr
Suite 102
Melbourne, FL 32940-1993

Mailing address

1400 Bourke LN
Melbourne, FL 32940-6047
Phone (321) 242-8413

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218326400000",
    "number": "1043483241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 BOURKE LN",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329406047",
            "telephone_number": "321-242-8413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 BEDFORD DR",
            "address_2": "SUITE 102",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329401993",
            "telephone_number": "321-757-6321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMELLIA A WESTWELL PSY D PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2008-08-10",
        "status": "A",
        "authorized_official_last_name": "WESTWELL",
        "authorized_official_first_name": "CAMELLIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "321-242-8413",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY D"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY6451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2008; 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.