Professional Psychological Services Inc

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY6417 Issued in FL

Legal business name

PROFESSIONAL PSYCHOLOGICAL SERVICES INC

Practice address

1108 Kane Concourse
Suite 207
Bay Harbor Islands, FL 33154-2068

Phone

(305) 606-5093

Fax

(305) 285-9430

NPI assigned

Oct 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Alison Beth Grossman, PH.D.NPI 1528180973

Title

President

Phone

(305) 606-5093

Specialties & licenses 1

Addresses

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.

• Alison B Grossman, PH.D.

  • Clinical Psychologist
  • Bay Harbor Islands, FL
  • NPI 1528180973
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373241600000",
    "number": "1487842175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 KANE CONCOURSE",
            "address_2": "SUITE 207",
            "city": "BAY HARBOR ISLANDS",
            "state": "FL",
            "postal_code": "331542068",
            "telephone_number": "305-606-5093",
            "fax_number": "305-285-9430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 KANE CONCOURSE",
            "address_2": "SUITE 207",
            "city": "BAY HARBOR ISLANDS",
            "state": "FL",
            "postal_code": "331542068",
            "telephone_number": "305-606-5093",
            "fax_number": "305-285-9430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL PSYCHOLOGICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2013-07-08",
        "status": "A",
        "authorized_official_last_name": "GROSSMAN",
        "authorized_official_first_name": "ALISON",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-606-5093",
        "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": "PY6417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Bay Harbor Islands, FL
• Providers in Bay Harbor Islands, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2013; 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.