NPIMap

Organization Active NPI

Florida Psychological & Associated Healthcare

  • Psychologist
  • Fernandina Beach, FL
National Provider Identifier
1326419029
Registry record updated May 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY 9101 Issued in FL
Legal business name
FLORIDA PSYCHOLOGICAL & ASSOCIATED HEALTHCARE
Practice address
1903 Island Walk Way
Fernandina Beach, FL 32034-4797
Phone
(904) 277-0027
Fax
(407) 867-6261
NPI assigned
Oct 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2017

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

Authorized official

Name
Catherine H Drew, PHDNPI 1679973341
Title
Ceo
Phone
(904) 277-0027

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X PY 9101 FL Primary

Addresses

Primary practice location

1903 Island Walk Way
Fernandina Beach, FL 32034-4797

Mailing address

1903 Island Walk Way
Fernandina Beach, FL 32034-4797
Phone (904) 277-0027

National Provider Directory

National Provider Directory

Locations

1903 Island Walk Way
Fernandina Beach, FL 32034
Phone (904) 277-0027

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1444176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494288000000",
    "number": "1326419029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 ISLAND WALK WAY",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320344797",
            "telephone_number": "904-277-0027",
            "fax_number": "407-867-6261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 ISLAND WALK WAY",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320344797",
            "telephone_number": "904-277-0027",
            "fax_number": "407-867-6261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA PSYCHOLOGICAL & ASSOCIATED HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-07",
        "last_updated": "2017-05-09",
        "status": "A",
        "authorized_official_last_name": "DREW",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-277-0027",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY 9101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fernandina Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2017; 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.