Organization Active NPI

Clinical Psychological Services, Inc.

  • Clinical Psychologist
  • Tallahassee, FL
National Provider Identifier
1619141470
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY3424 Issued in FL
Legal business name
CLINICAL PSYCHOLOGICAL SERVICES, INC.
Practice address
1927 Buford Blvd
Tallahassee, FL 32308-4466
Phone
(850) 309-0811
Fax
(850) 309-0812
NPI assigned
Apr 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2008

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

Authorized official

Name
Mr. James G Brown, PH.D.NPI 1922162825
Title
Psychologist
Phone
(850) 309-0811

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PSY3424 FL Primary

Addresses

Primary practice location

1927 Buford Blvd
Tallahassee, FL 32308-4466

Mailing address

1927 Buford Blvd
Tallahassee, FL 32308-4466
Phone (850) 309-0811

National Provider Directory

National Provider Directory

Locations

1927 Buford Blvd
Tallahassee, FL 32308
Phone (850) 309-0811

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1619141470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1927 BUFORD BLVD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084466",
            "telephone_number": "850-309-0811",
            "fax_number": "850-309-0812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1927 BUFORD BLVD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084466",
            "telephone_number": "850-309-0811",
            "fax_number": "850-309-0812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL PSYCHOLOGICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-14",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "850-309-0811",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PSY3424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; 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.