NPIMap

Organization Active NPI

Atlantic Psychological Center, P.C.

  • Psychologist
  • Coral Springs, FL
National Provider Identifier
1104016898
Registry record updated Jul 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY6769 Issued in FL
Legal business name
ATLANTIC PSYCHOLOGICAL CENTER, P.C.
Practice address
12514 W Atlantic Blvd
Coral Springs, FL 33071-4085
Phone
(954) 464-0583
Fax
(954) 697-0275
NPI assigned
Jul 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2007

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

Authorized official

Name
Dr. Judith Migoya, PSY.D.NPI 1871526491
Title
Director
Phone
(954) 464-0583

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PY6769 FL Primary

Addresses

Primary practice location

12514 W Atlantic Blvd
Coral Springs, FL 33071-4085

Mailing address

12514 W Atlantic Blvd
Coral Springs, FL 33071-4085
Phone (954) 464-0583

National Provider Directory

National Provider Directory

Locations

12514 W Atlantic Blvd
Coral Springs, FL 33071
Phone (954) 461-6276

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1185580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185580800000",
    "number": "1104016898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12514 W ATLANTIC BLVD",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330714085",
            "telephone_number": "954-464-0583",
            "fax_number": "954-697-0275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12514 W ATLANTIC BLVD",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330714085",
            "telephone_number": "954-464-0583",
            "fax_number": "954-697-0275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC PSYCHOLOGICAL CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-28",
        "last_updated": "2007-07-28",
        "status": "A",
        "authorized_official_last_name": "MIGOYA",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "954-464-0583",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY6769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2007; 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.