SCW Psychological, Inc

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY7196 Issued in FL

Legal business name

SCW PSYCHOLOGICAL, INC

Practice address

1550 Madruga Ave
Suite 510
Coral Gables, FL 33146-3039

Phone

(305) 528-8808

Fax

(305) 454-0511

NPI assigned

Jun 29, 2011

Last updated

Jul 6, 2011By 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. Suzanne Carroll Woodard, PH.D.NPI 1154457661

Title

Clinical Psychologist

Phone

(305) 528-8808

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Suzanne Carroll Woodard, PH.D.

  • Clinical Psychologist
  • Coral Gables, FL
  • NPI 1154457661
  Authorized official Same address or phone

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

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309910400000",
    "number": "1093002016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 348220",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "332348220",
            "telephone_number": "305-528-8808",
            "fax_number": "305-454-0511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 MADRUGA AVE",
            "address_2": "SUITE 510",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331463039",
            "telephone_number": "305-528-8808",
            "fax_number": "305-454-0511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCW PSYCHOLOGICAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-29",
        "last_updated": "2011-07-06",
        "status": "A",
        "authorized_official_last_name": "CARROLL WOODARD",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "305-528-8808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY7196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karl William Schwarz, MD
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• Joshua Ryan Scurlock, M.D.
• SDR Clinic and Sleep Disorder Institute LLC (SDR Diagnostics LLC)
• SDR Clinic and Sleep Disorder Institute LLC (SDR Sleep & diagnostics LLC)
• SDR Sleep & Diagnostics LLC
• Dajia Seabrook
• Manuel R Seage, DDS

• Clinical Psychologist in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2011; 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.