Affiliated Health Psychologists

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY3475 Issued in FL

Legal business name

AFFILIATED HEALTH PSYCHOLOGISTS

Practice address

14011 Beach Blvd
Suite 100
Jacksonville, FL 32250-1507

Phone

(904) 223-4865

Fax

(904) 223-4868

NPI assigned

Apr 11, 2007

Last updated

Apr 1, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eileen KrimskyNPI 1730159831

Title

Psychologist Owner

Phone

(904) 223-4865

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

Practitioners 3

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.

• Eileen Krimsky, PH.D.

  • Psychologist
  • Jacksonville, FL
  • NPI 1730159831
  Authorized official Same address or phone
• Gerrit Johan Beltman, P.T.

  • Physical Therapist
  • Jacksonville, FL
  • NPI 1043558851
  NPD (past)
• Makiko Torikai, D.P.T.

  • Physical Therapist
  • Temple Terrace, FL
  • NPI 1770917874
  NPD (past)

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1265655617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14011 BEACH BLVD",
            "address_2": "SUITE 100",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322501507",
            "telephone_number": "904-223-4865",
            "fax_number": "904-223-4868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14011 BEACH BLVD",
            "address_2": "SUITE 100",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322501507",
            "telephone_number": "904-223-4865",
            "fax_number": "904-223-4868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFILIATED HEALTH PSYCHOLOGISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "KRIMSKY",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_title_or_position": "PSYCHOLOGIST OWNER",
        "authorized_official_telephone_number": "904-223-4865"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY3475",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY3479",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI #",
            "identifier": "1346210440",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI #",
            "identifier": "1730159831",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.