Organization Active NPI

Emery Psychological Center, PA

  • Mental Health Counselor
  • Boca Raton, FL
National Provider Identifier
1164448445
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH6296 Issued in FL
Legal business name
EMERY PSYCHOLOGICAL CENTER, PA
Practice address
6865 SW 18TH St Ste 12
Boca Raton, FL 33433-7057
Phone
(561) 395-7005
Fax
(561) 395-1243
NPI assigned
Jul 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Laurie Michelle Emery, PSYD
Title
Owner/ Therapist
Phone
(561) 395-7005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X MH6296 FL Primary

Addresses

Primary practice location

6865 SW 18TH St Ste 12
Boca Raton, FL 33433-7057

Mailing address

6865 SW 18TH St Ste 12
Boca Raton, FL 33433-7057
Phone (561) 395-7005

National Provider Directory

National Provider Directory

Locations

6865 SW 18th St
Ste 12
Boca Raton, FL 33433
Phone (561) 395-7005

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1164448445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6865 SW 18TH ST STE 12",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334337057",
            "telephone_number": "561-395-7005",
            "fax_number": "561-395-1243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6865 SW 18TH ST STE 12",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334337057",
            "telephone_number": "561-395-7005",
            "fax_number": "561-395-1243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERY PSYCHOLOGICAL CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "EMERY",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER/ THERAPIST",
        "authorized_official_telephone_number": "561-395-7005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH6296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.