Psychological Associates of the Palm Beaches Inc

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY5739 Issued in FL

Legal business name

PSYCHOLOGICAL ASSOCIATES OF THE PALM BEACHES INC

Practice address

1300 NW 17TH Ave Ste 101
Delray Beach, FL 33445-2554

Phone

(561) 279-9295

Fax

(561) 333-8029

NPI assigned

Nov 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Scott Michael Costanza, PSYD

Title

President

Phone

(561) 279-9295

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218067200000",
    "number": "1306026604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3692 MOON BAY CIR",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334148806",
            "telephone_number": "561-279-9295",
            "fax_number": "561-333-8029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 NW 17TH AVE STE 101",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334452554",
            "telephone_number": "561-279-9295",
            "fax_number": "561-333-8029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL ASSOCIATES OF THE PALM BEACHES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-05",
        "last_updated": "2008-08-07",
        "status": "A",
        "authorized_official_last_name": "COSTANZA",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-279-9295",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY5739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Delray Beach, FL
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.