Organization Active NPI

Dr. Nydia Conrad Counseling & Psychological Assessment Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wesley Chapel, FL
National Provider Identifier
1548573256
Registry record updated Dec 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
8091 Issued in FL
Legal business name
DR. NYDIA CONRAD COUNSELING & PSYCHOLOGICAL ASSESSMENT SERVICES, LLC
Practice address
3848 Flatiron Loop Unit 101
Wesley Chapel, FL 33544-7825
Phone
(813) 480-6427
Fax
(813) 788-3492
NPI assigned
Jul 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2010

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

Authorized official

Name
Dr. Nydia Conrad, PSYD
Title
Licensed Psychologist
Phone
(813) 480-6427

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 8091 FL Primary

Addresses

Primary practice location

3848 Flatiron Loop Unit 101
Wesley Chapel, FL 33544-7825

Mailing address

3848 Flatiron Loop Unit 101
Wesley Chapel, FL 33544-7825
Phone (813) 480-6427

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1279756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291248000000",
    "number": "1548573256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3848 FLATIRON LOOP UNIT 101",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335447825",
            "telephone_number": "813-480-6427",
            "fax_number": "813-788-3492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3848 FLATIRON LOOP UNIT 101",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335447825",
            "telephone_number": "813-480-6427",
            "fax_number": "813-788-3492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. NYDIA CONRAD COUNSELING & PSYCHOLOGICAL ASSESSMENT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-22",
        "last_updated": "2010-12-02",
        "status": "A",
        "authorized_official_last_name": "CONRAD",
        "authorized_official_first_name": "NYDIA",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "813-480-6427",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "FL",
            "license": "8091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; 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.