Individual provider Active NPI

Michael A. Adamse, PH.D.

  • Psychologist
  • Boca Raton, FL
National Provider Identifier
1619057296
Registry record updated Aug 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY4280 Issued in FL
Practice address
370 Camino Gardens Blvd Ste 105
Boca Raton, FL 33432-5826
Phone
(561) 395-5654
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY4280 FL Primary

Addresses

Primary practice location

370 Camino Gardens Blvd Ste 105
Boca Raton, FL 33432-5826

Mailing address

370 Camino Gardens Blvd Ste 105
Boca Raton, FL 33432-5826
Phone (561) 395-5654

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080502000245 FL Practitioner - Clinical Psychologist 4789671645 Practice locations: Boca Raton, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

370 Camino Gardens Blvd
Suite 105
Boca Raton, FL 33432-5826
Phone (561) 395-5654

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY4280FLMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564876800000",
    "number": "1619057296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 CAMINO GARDENS BLVD STE 105",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334325826",
            "telephone_number": "561-395-5654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 CAMINO GARDENS BLVD STE 105",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334325826",
            "telephone_number": "561-395-5654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMSE",
        "first_name": "MICHAEL",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2019-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY4280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.