Active NPI
Barbara M Paulillo PSYD & Robert Paulillo PSYD PA
- Psychologist
- Indialantic, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY3748
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Barbara M Paulillo, PSYD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Psychologist
- Indialantic, FL
- NPI 1801911219
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.