Keck & Grace, PA

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY4007 Issued in FL

Legal business name

KECK & GRACE, PA

Practice address

1110 Douglas Ave
Suite 3040
Altamonte Springs, FL 32714-2061

Phone

(407) 644-2000

Fax

(407) 644-3484

NPI assigned

Feb 2, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Gilda Grace, LMHCNPI 1265437826

Title

Treasurer

Phone

(407) 644-2000

Specialties & licenses 1

Addresses

Other names 1

• CENTER FOR POSITIVE PSYCHOLOGY Doing business as

Locations

Practitioners 1

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

• Gilda Grace, LMHC

  • Mental Health Counselor
  • Altamonte Springs, FL
  • NPI 1265437826
  NPD (past) Authorized official

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

{
    "created_epoch": "1296604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296604800000",
    "number": "1245536689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 DOUGLAS AVE",
            "address_2": "SUITE 3040",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327142061",
            "telephone_number": "407-644-2000",
            "fax_number": "407-644-3484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 DOUGLAS AVE",
            "address_2": "SUITE 3040",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327142061",
            "telephone_number": "407-644-2000",
            "fax_number": "407-644-3484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KECK & GRACE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-02",
        "last_updated": "2011-02-02",
        "status": "A",
        "authorized_official_last_name": "GRACE",
        "authorized_official_first_name": "GILDA",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "407-644-2000",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY4007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTER FOR POSITIVE PSYCHOLOGY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Barry Richard Katz, MD
• Isabella Caterina Katz
• Manik Kaushal, MANAGER
• Tal Manor Kazam, M.D.
• Cara Keating
• Alan D Keck, PSY.D
• Delaney Keefe
• Patti K Keefe, C.F.A.
• John L. Keelan IV, D.C.
• Katherine Monahan Keeler, AU.D.

• Clinical Psychologist in Altamonte Springs, FL
• Providers in Altamonte Springs, FL by specialty
• Clinical Psychologist in Florida

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