Organization Active NPI

Lisa D Rollins-Garcia, PH.D., P.a.

  • Psychologist
  • Palm Beach Gardens, FL
National Provider Identifier
1114379930
Registry record updated Jul 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY5334 Issued in FL
Legal business name
LISA D ROLLINS-GARCIA, PH.D., P.A.
Practice address
12300 Alternate A1A
Ste 108
Palm Beach Gardens, FL 33410-2205
Phone
(561) 625-9464
NPI assigned
Jul 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2016

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

Authorized official

Name
Dr. Lisa D Rollins-Garcia, PH.D.
Title
President
Phone
(561) 308-5035

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PY5334 FL Primary

Addresses

Primary practice location

12300 Alternate A1A
Ste 108
Palm Beach Gardens, FL 33410-2205

Mailing address

11954 Banyan St
Palm Beach Gardens, FL 33410-2106
Phone (561) 308-5035

National Provider Directory

National Provider Directory

Locations

12300 Alternate A1A
Ste 108
Palm Beach Gardens, FL 33410
Phone (561) 625-3287

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": "1467676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467676800000",
    "number": "1114379930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11954 BANYAN ST",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334102106",
            "telephone_number": "561-308-5035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12300 ALTERNATE A1A",
            "address_2": "STE 108",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334102205",
            "telephone_number": "561-625-9464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA D ROLLINS-GARCIA, PH.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-05",
        "last_updated": "2016-07-05",
        "status": "A",
        "authorized_official_last_name": "ROLLINS-GARCIA",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-308-5035",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY5334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2016; 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.