Nathalie de Fabrique, PA

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY7421 Issued in FL

Legal business name

NATHALIE DE FABRIQUE, PA

Practice address

1019 N State Road 7
Royal Palm Beach, FL 33411-5100

Phone

(954) 325-3454

NPI assigned

Sep 26, 2012

Last updated

Sep 26, 2012By 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. Nathalie De Fabrique, PSY.D.NPI 1982748190

Title

Clinical Psychologist

Phone

(954) 325-3454

Specialties & licenses 1

Addresses

Locations

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.

• Nathalie C De Fabrique, PSY D

  • Clinical Psychologist
  • Royal Palm Beach, FL
  • NPI 1982748190
  Authorized official Same address or phone

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

{
    "created_epoch": "1348617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348617600000",
    "number": "1124379417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 BELLAROSA CIR",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334111469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 N STATE ROAD 7",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334115100",
            "telephone_number": "954-325-3454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATHALIE DE FABRIQUE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-26",
        "last_updated": "2012-09-26",
        "status": "A",
        "authorized_official_last_name": "DE FABRIQUE",
        "authorized_official_first_name": "NATHALIE",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "954-325-3454",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY7421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Royal Palm Beach, FL
• Providers in Royal Palm Beach, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; 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.