NPIMap

Organization Active NPI

Associates in Family Psychology

  • Clinical Psychologist
  • Fort Myers, FL
National Provider Identifier
1275712911
Registry record updated Apr 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
ASSOCIATES IN FAMILY PSYCHOLOGY
Practice address
13430 Parker Commons Blvd Ste 101
Fort Myers, FL 33912-1812
Phone
(239) 561-9955
Fax
(239) 561-9779
NPI assigned
Oct 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2023

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

Authorized official

Name
Dr. Amy Mulholland, PH.D.
Title
Co Owner/Psychologist
Phone
(239) 561-9955

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X

Addresses

Primary practice location

13430 Parker Commons Blvd Ste 101
Fort Myers, FL 33912-1812

Mailing address

13430 Parker Commons Blvd Ste 101
Fort Myers, FL 33912-1812
Phone (239) 561-9955

National Provider Directory

National Provider Directory

Locations

13430 Parker Commons Blvd
Ste 101
Fort Myers, FL 33912
Phone (239) 561-9955

6150 Diamond Centre Ct
Unit 1003
Fort Myers, FL 33912
Phone (239) 245-7909

Practitioners & affiliated clinicians

Practitioners 10

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

NPI Registry JSON

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680652800000",
    "number": "1275712911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13430 PARKER COMMONS BLVD STE 101",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339121812",
            "telephone_number": "239-561-9955",
            "fax_number": "239-561-9779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13430 PARKER COMMONS BLVD STE 101",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339121812",
            "telephone_number": "239-561-9955",
            "fax_number": "239-561-9779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATES IN FAMILY PSYCHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A",
        "authorized_official_last_name": "MULHOLLAND",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "CO OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "239-561-9955",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; 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.