Individual provider Active NPI

Kathryn Maslowe, PSY.D.

  • Clinical Psychologist
  • Palm Beach Gardens, FL
National Provider Identifier
1174951420
Registry record updated Oct 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY8813 Issued in FL
Practice address
100 Village Square Xing
Suite 104
Palm Beach Gardens, FL 33410-4545
Phone
(561) 316-8265
NPI assigned
Oct 24, 2013
Last updated
Oct 24, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY8813 FL Primary

Addresses

Primary practice location

100 Village Square Xing
Suite 104
Palm Beach Gardens, FL 33410-4545

Mailing address

100 Village Square Xing
Suite 104
Palm Beach Gardens, FL 33410-4545
Phone (561) 316-8265

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2023 through Jan 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PY8813FLMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1382572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382572800000",
    "number": "1174951420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 VILLAGE SQUARE XING",
            "address_2": "SUITE 104",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104545",
            "telephone_number": "561-316-8265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 VILLAGE SQUARE XING",
            "address_2": "SUITE 104",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104545",
            "telephone_number": "561-316-8265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASLOWE",
        "first_name": "KATHRYN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-24",
        "last_updated": "2013-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY8813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.