David a Yudell, Psy.D., P.a.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY7134 Issued in FL

Legal business name

DAVID A YUDELL, PSY.D., P.A.

Practice address

5489 Wiles Rd
Suite 305
Coconut Creek, FL 33073-4220

Phone

(954) 801-7996

Fax

(954) 333-3573

NPI assigned

Nov 6, 2008

Organization subpart

No

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

Authorized official

Name

Dr. David A. Yudell, PSY.D

Title

President

Phone

(954) 801-7996

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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

• Pamela L Baker, PSY.D

  • Psychologist
  • Coconut Creek, FL
  • NPI 1184975088
  NPD (past)
• Stacey McCaffrey, PH.D.

  • Student in an Organized Health Care Education/Training Program
  • Plantation, FL
  • NPI 1437525177
  NPD (past)
• Pamela Wachtel, L.M.F.T.

  • Marriage & Family Therapist
  • Coconut Creek, FL
  • NPI 1548534225
  NPD (past)

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

{
    "created_epoch": "1225929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322784000000",
    "number": "1205080074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5489 WILES RD",
            "address_2": "SUITE 305",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734220",
            "telephone_number": "954-801-7996",
            "fax_number": "954-333-3573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5489 WILES RD",
            "address_2": "SUITE 305",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734220",
            "telephone_number": "954-801-7996",
            "fax_number": "954-333-3573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID A YUDELL, PSY.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-06",
        "last_updated": "2011-12-02",
        "status": "A",
        "authorized_official_last_name": "YUDELL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-801-7996",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY7134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "769006100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pietro Dalia, LMHC
• Dan Black Enterprises Inc
• Stefania Dannacher, PSY.D.
• Mariam Darwiche
• Robin Davenport, ARNP
• David K Poces D.C, P.a.
• Florance Jean Davidson, LCSW
• Pamela Jane Day, DPT
• Dayscape Adult Care Center Inc.
• Tiffany Santos De Melo

• Psychologist in Coconut Creek, FL
• Providers in Coconut Creek, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2011; 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.