Paula Deforest, PHD

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

PY0004766 Issued in FL

Practice address

2020 Commerce Dr
West Melbourne, FL 32904-2335

Phone

(321) 952-6000

NPI assigned

Dec 9, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Circles of Care Inc 26 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Circles of Care, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Melbourne, FL
  • NPI 1215345954

  FL

  Medicare reassignment Care Compare group NPD
• Circles of Care, Inc.

  • Psychiatric Hospital
  • Melbourne, FL
  • NPI 1679541031
  Care Compare group NPD
• Paula Deforest PHD LLC

  • Clinical Child & Adolescent Psychologist
  • Melbourne, FL
  • NPI 1851776348

  Clinical Child & Adolescent

  NPD (past) Authorized official

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

{
    "created_epoch": "1228780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254182400000",
    "number": "1306081179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2290 ROCKLEDGE DR",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329555404",
            "telephone_number": "321-305-5068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 COMMERCE DR",
            "city": "WEST MELBOURNE",
            "state": "FL",
            "postal_code": "329042335",
            "telephone_number": "321-952-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFOREST",
        "first_name": "PAULA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-09",
        "last_updated": "2009-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "FL",
            "license": "PY0004766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth D'Esposito
• Summer Elise Daniels, RMHC INTERN
• Jeffrey Dargatis
• DBR Development Corp.
• Joy Debusk, OTA
• Robin Marie Defrancesco, APRN
• Giselle Dejean, LCSW AND LICSW
• Flavia Eduarda Del Castillo Troche
• Devyn Ann Denby
• Randall Depasquale, OTR/L

• All providers in West Melbourne, FL
• Clinical Child & Adolescent Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.