Organization Active NPI

Barbara M Paulillo PSYD & Robert Paulillo PSYD PA

  • Psychologist
  • Indialantic, FL
National Provider Identifier
1457378192
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY3748 Issued in FL
Legal business name
BARBARA M PAULILLO PSYD & ROBERT PAULILLO PSYD PA
Practice address
525 Maria CT.
Indialantic, FL 32903-4768
Phone
(321) 506-0474
Fax
(321) 726-6727
NPI assigned
Jul 17, 2006
Last updated
Feb 12, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

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

Authorized official

Name
Dr. Barbara M Paulillo, PSYDNPI 1801911219
Title
President
Phone
(321) 506-0474

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY3748 FL Primary

Addresses

Primary practice location

525 Maria CT.
Indialantic, FL 32903-4768

Mailing address

525 Maria CT.
Indialantic, FL 32903-4768
Phone (321) 506-0474

National Provider Directory

National Provider Directory

Locations

333 6th Ave
Indialantic, FL 32903
Phone (321) 951-2010

114 6th Ave
Ste 2
Melbourne, FL 32903
Phone (321) 409-8808

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581465600000",
    "number": "1457378192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 MARIA CT.",
            "city": "INDIALANTIC",
            "state": "FL",
            "postal_code": "329034768",
            "telephone_number": "321-506-0474",
            "fax_number": "321-726-6727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 MARIA CT.",
            "city": "INDIALANTIC",
            "state": "FL",
            "postal_code": "329034768",
            "telephone_number": "321-506-0474",
            "fax_number": "321-726-6727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARBARA M PAULILLO PSYD & ROBERT PAULILLO PSYD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A",
        "authorized_official_last_name": "PAULILLO",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-506-0474",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY3748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indialantic, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; 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.