Heal & Grow Psychological Services

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

HEAL & GROW PSYCHOLOGICAL SERVICES

Practice address

320 N Cattlemen Rd Apt 103
Sarasota, FL 34232-6434

Phone

(941) 564-9478

NPI assigned

Oct 29, 2021

Organization subpart

No

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

Authorized official

Name

Magdalena Fudyma, PSY.D.NPI 1073988671

Title

President

Phone

(941) 564-9478

Specialties & licenses 1

Addresses

Other names 1

• MB Psychology Former legal business name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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

• Magdalena Fudyma

  • Psychologist
  • Sarasota, FL
  • NPI 1073988671
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1635465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643155200000",
    "number": "1366106908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 N CATTLEMEN RD APT 103",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342326434",
            "telephone_number": "941-564-9478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 N CATTLEMEN RD APT 103",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342326434",
            "telephone_number": "941-564-9478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAL & GROW PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-29",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A",
        "authorized_official_last_name": "FUDYMA",
        "authorized_official_first_name": "MAGDALENA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-564-9478",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MB Psychology",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Julie E Haygood, CRNA
• Tara Lynn Haynes, PTA
• Marguerite Noel Hazen, LMHC
• James Cummins Hazlett III, DDS
• Jill A Hazzard, LMHC
• Healing Centre LLC
• Healing From the Heart, Inc.
• Healing Health Care Solutions LLC
• Healing Transitions Creative Counseling for Children & Families Inc.
• Health & Fitness.Com Inc

• Psychologist in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; 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.