Larson Psychological Services, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY9437 Issued in FL

Legal business name

LARSON PSYCHOLOGICAL SERVICES, LLC

Practice address

122 4TH Ave
Suite 200
Indialantic, FL 32903-3112

Phone

(321) 327-3793

NPI assigned

Jun 8, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Molly Larson, PH.D.NPI 1548652795

Title

Clinical Psychologist

Phone

(321) 327-3793

Specialties & licenses 1

Addresses

Other names 1

• Molly Larson, Ph.D. Doing business as

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.

• Molly Larson, PH.D.

  • Clinical Psychologist
  • Atlanta, GA
  • NPI 1548652795

  FL

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1465344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465344000000",
    "number": "1447609649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 4TH AVE",
            "address_2": "SUITE 200",
            "city": "INDIALANTIC",
            "state": "FL",
            "postal_code": "329033112",
            "telephone_number": "321-327-3793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 4TH AVE",
            "address_2": "SUITE 200",
            "city": "INDIALANTIC",
            "state": "FL",
            "postal_code": "329033112",
            "telephone_number": "321-327-3793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARSON PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-08",
        "last_updated": "2016-06-08",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "MOLLY",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "321-327-3793",
        "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": "PY9437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Molly Larson, Ph.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Barry Stewart Kronman, M.D.
• Jayadevan Kundumadathil, MD
• Deborah Kutner, PHD
• La Salette Health and Fitness Institute
• Jeannie Lano
• Lucy Simpson Lauer, LMHC
• Robert T Lee II, RCSWI
• Lightning Mobile Wounds
• John R Lindeman, DDS
• Llanes Inc

• Clinical Psychologist in Indialantic, FL
• Providers in Indialantic, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2016; 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.