Central Florida Psychological Services, PA

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

PY0004613 Issued in FL

Legal business name

CENTRAL FLORIDA PSYCHOLOGICAL SERVICES, PA

Practice address

125 W Pineview St
Suite 1005
Altamonte Springs, FL 32714-2007

Phone

(407) 951-6920

NPI assigned

May 11, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Mary T Holcomb, PSY.D.

Title

President

Phone

(407) 347-4676

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1305072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322611200000",
    "number": "1265724033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 W PINEVIEW ST",
            "address_2": "SUITE 1005",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327142007",
            "telephone_number": "407-951-6920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 W PINEVIEW ST",
            "address_2": "SUITE 1005",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327142007",
            "telephone_number": "407-951-6920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL FLORIDA PSYCHOLOGICAL SERVICES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-11",
        "last_updated": "2011-11-30",
        "status": "A",
        "authorized_official_last_name": "HOLCOMB",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-347-4676",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "FL",
            "license": "PY0004613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "59488",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Central Family Medical, LLC.
• Central Florida Hospital Neurology LLC
• Central Florida Injury & Rehabilitation, Inc
• Central Florida Low Vision Rehabilitation Resource Center, LLC
• Central Florida Premier Eye Associates (Lake Eye Accosiates)
• Central Florida Rehabilitation Institute LLC
• Central Palm Beach Physicians & Urgent Care Inc (MCPB Orthopedics & Neurosurgery)
• Central Surgical Center, LLC
• Nicole Alexa Cervone
• CFC Counseling, Inc. (The Center for Family & Crisis Counseling)

• Adult Mental Health Clinic/Center in Altamonte Springs, FL
• Providers in Altamonte Springs, FL by specialty
• Adult Mental Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.