NPIMap

Organization Active NPI

University of Central Florida Psychology Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Orlando, FL
National Provider Identifier
1184820029
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
UNIVERSITY OF CENTRAL FLORIDA PSYCHOLOGY CLINIC
Practice address
4000 Central Florida Blvd
Department of Psychology, University of Central Florida
Orlando, FL 32816-1390
Phone
(407) 823-4344
NPI assigned
Jun 26, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jeffrey S. Bedwell, PH.D.NPI 1295950186
Title
Assistant Professor
Phone
(407) 823-5858

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

4000 Central Florida Blvd
Department of Psychology, University of Central Florida
Orlando, FL 32816-1390

Mailing address

4000 Central Florida Blvd
Department of Psychology, University of Central Florida
Orlando, FL 32816-1390

National Provider Directory

National Provider Directory
Tax ID family
Ucf Center for Autism and Related Disabilities12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4000 Central Florida Blvd
Orlando, FL 32816
Phone (407) 823-2000

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184820029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 CENTRAL FLORIDA BLVD",
            "address_2": "DEPARTMENT OF PSYCHOLOGY, UNIVERSITY OF CENTRAL FLORIDA",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328161390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 CENTRAL FLORIDA BLVD",
            "address_2": "DEPARTMENT OF PSYCHOLOGY, UNIVERSITY OF CENTRAL FLORIDA",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328161390",
            "telephone_number": "407-823-4344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF CENTRAL FLORIDA PSYCHOLOGY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BEDWELL",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "ASSISTANT PROFESSOR",
        "authorized_official_telephone_number": "407-823-5858",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.