Psychotherapy Services, Inc

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH3648 Issued in FL

Legal business name

PSYCHOTHERAPY SERVICES, INC

Practice address

4475 US 1 S
St Augustine, FL 32086-7284

Phone

(904) 827-1777

Fax

(904) 827-1222

NPI assigned

Sep 21, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Paula Kaufman Mills, DS, MA, LMHC

Title

Owner

Phone

(904) 827-1777

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1253491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337644800000",
    "number": "1285968412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 S MATANZAS BLVD",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320804541",
            "telephone_number": "904-827-1777",
            "fax_number": "904-827-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4475 US 1 S",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320867284",
            "telephone_number": "904-827-1777",
            "fax_number": "904-827-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOTHERAPY SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-21",
        "last_updated": "2012-05-22",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "KAUFMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-827-1777",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DS, MA, LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH3648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; 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.