Individual provider Active NPI

Pamela Toll, PSY.D.

  • Clinical Psychologist
  • Boca Raton, FL
National Provider Identifier
1467533976
Registry record updated Jun 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY8613 Issued in FL
Practice address
301 NE 7TH St
Boca Raton, FL 33432-2719
Phone
(858) 442-4797
Fax
(858) 997-2125
NPI assigned
Oct 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY8613 FL Primary

Addresses

Primary practice location

301 NE 7TH St
Boca Raton, FL 33432-2719

Mailing address

301 NE 7TH St
Boca Raton, FL 33432-2719
Phone (858) 442-4797

Other identifiers 1

IdentifierTypeStateIssuer
PSY203730MedicaidCA

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

State licenses

LicenseStateTypeSpecialty
PY8613FLMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433116800000",
    "number": "1467533976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 NE 7TH ST",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334322719",
            "telephone_number": "858-442-4797",
            "fax_number": "858-997-2125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 NE 7TH ST",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334322719",
            "telephone_number": "858-442-4797",
            "fax_number": "858-997-2125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLL",
        "first_name": "PAMELA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2015-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY8613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PSY203730",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2015; 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.