Active NPI
Rafael Parlade, PH D
- Psychologist
- Holly Hill, FL
National Provider Identifier
1396704615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY3362
- Practice address
- 1340 Ridgewood Ave
Holly Hill, FL 32117 - Phone
- (386) 676-7175
- Fax
- (386) 676-7134
- NPI assigned
- Mar 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PY3362 | FL | Primary |
Addresses
Primary practice location
1340 Ridgewood Ave
Holly Hill, FL 32117
Mailing address
PO Box 9671
Daytona Beach, FL 32120
Phone (386) 676-7130
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PY0003362 | Other | FL | VHN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373587200000",
"number": "1396704615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9671",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "32120",
"telephone_number": "386-676-7130",
"fax_number": "386-676-7125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1340 RIDGEWOOD AVE",
"city": "HOLLY HILL",
"state": "FL",
"postal_code": "32117",
"telephone_number": "386-676-7175",
"fax_number": "386-676-7134"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARLADE",
"first_name": "RAFAEL",
"credential": "PH D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-23",
"last_updated": "2013-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "FL",
"license": "PY3362",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VHN",
"identifier": "PY0003362",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Holly Hill, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.