Organization Active NPI

Arthur S Patterson PHD Inc

  • Clinical Psychologist
  • Sebring, FL
National Provider Identifier
1356536122
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY0003935 Issued in FL
Legal business name
ARTHUR S PATTERSON PHD INC
Practice address
431 S Pine St
Sebring, FL 33870-3647
Phone
(863) 314-9493
Fax
(863) 382-8672
NPI assigned
Sep 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2008

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

Authorized official

Name
Dr. Arthur Patterson, PH.D.NPI 1982660486
Title
Owner
Phone
(863) 314-9493

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
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PY0003935 FL Primary

Addresses

Primary practice location

431 S Pine St
Sebring, FL 33870-3647

Mailing address

431 S Pine St
Sebring, FL 33870-3647
Phone (863) 314-9493

Other identifiers 1

IdentifierTypeStateIssuer
DE8119OtherFLRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050808000066 FL Part B Supplier - Clinic/Group Practice 1658300926 Receives reassigned benefits from 1 practitioner
Practice locations: Sebring, FL

National Provider Directory

National Provider Directory

Locations

429 S Pine St
Sebring, FL 33870
Phone (863) 314-9493

431 S Pine St
Sebring, FL 33870
Phone (863) 314-9493

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1356536122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 S PINE ST",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338703647",
            "telephone_number": "863-314-9493",
            "fax_number": "863-382-8672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 S PINE ST",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338703647",
            "telephone_number": "863-314-9493",
            "fax_number": "863-382-8672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARTHUR S PATTERSON PHD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-13",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-314-9493",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY0003935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DE8119",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebring, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.