Patrick W Gorman PSYD LLC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PY5141 Issued in FL

Legal business name

PATRICK W GORMAN PSYD LLC

Practice address

136 Benmore Dr
Winter Park, FL 32792-4101

Phone

(407) 644-7792

Fax

(407) 644-3509

NPI assigned

Feb 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Patrick W Gorman, PSY.D.NPI 1205838935

Title

Owner

Phone

(407) 644-7792

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patrick W Gorman, PSYD

  • Clinical Neuropsychologist
  • Winter Park, FL
  • NPI 1205838935
  Medicare reassignment NPD Authorized official
• Heather Leveta Horne, PH.D.

  • Psychologist
  • Winter Park, FL
  • NPI 1366711327
  NPD (past)

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312934400000",
    "number": "1194867374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 BENMORE DR",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327924101",
            "telephone_number": "407-644-7792",
            "fax_number": "407-644-3509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 BENMORE DR",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327924101",
            "telephone_number": "407-644-7792",
            "fax_number": "407-644-3509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK W GORMAN PSYD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2011-08-10",
        "status": "A",
        "authorized_official_last_name": "GORMAN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-644-7792",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY5141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tariq Patel, MD
• Thomas Andrew Paterniti, MD
• Harish M Patil, M.D.
• Aftab Patni, MD
• Patrick Crews LCSW LLC
• Beth Patterson
• Jennifer Patterson, LMHC
• Jennifer Lynn Patterson, MA
• Lauren Patterson
• Preston Patterson, LMHC

• Clinical Neuropsychologist in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Clinical Neuropsychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.