NPIMap

Organization Active NPI

Comprehensive Psychological and Assessment Services

  • Clinical Psychologist
  • Altamonte Springs, FL
National Provider Identifier
1326277534
Registry record updated Jul 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY7658 Issued in FL
Legal business name
COMPREHENSIVE PSYCHOLOGICAL AND ASSESSMENT SERVICES
Practice address
283 Cranes Roost Blvd
111
Altamonte Springs, FL 32701-3418
Phone
(352) 455-7958
NPI assigned
Jul 9, 2009
Last updated
Jul 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2009

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

Authorized official

Name
Dr. Maxine Ann-Marie Ruddock, PH.D.
Title
President
Phone
(352) 455-7958

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY7658 FL Primary

Addresses

Primary practice location

283 Cranes Roost Blvd
111
Altamonte Springs, FL 32701-3418

Mailing address

283 Cranes Roost Blvd
111
Altamonte Springs, FL 32701-3418
Phone (352) 455-7958

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1247097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247097600000",
    "number": "1326277534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "283 CRANES ROOST BLVD",
            "address_2": "111",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327013418",
            "telephone_number": "352-455-7958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "283 CRANES ROOST BLVD",
            "address_2": "111",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327013418",
            "telephone_number": "352-455-7958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE PSYCHOLOGICAL AND ASSESSMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-09",
        "last_updated": "2009-07-09",
        "status": "A",
        "authorized_official_last_name": "RUDDOCK",
        "authorized_official_first_name": "MAXINE",
        "authorized_official_middle_name": "ANN-MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-455-7958",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY7658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2009; 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.