Organization Active NPI

Family and Forensic Psychology PA

  • Forensic Psychologist
  • Cooper City, FL
National Provider Identifier
1629049390
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Forensic PsychologistTaxonomy code 103TF0200X
License
PY0004966 Issued in FL
Legal business name
FAMILY AND FORENSIC PSYCHOLOGY PA
Practice address
10000 Stirling Rd
Ste 6
Cooper City, FL 33024
Phone
(954) 436-8326
Fax
(954) 433-0603
NPI assigned
Jan 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Charles Barry Winick, PSY D
Title
President
Phone
(954) 436-8326

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X PY0004966 FL
Forensic PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TF0200X PY0004966 FL Primary

Addresses

Primary practice location

10000 Stirling Rd
Ste 6
Cooper City, FL 33024

Mailing address

10000 Stirling Rd
Ste 6
Cooper City, FL 33024
Phone (954) 436-8326

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1629049390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 STIRLING RD",
            "address_2": "STE 6",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "33024",
            "telephone_number": "954-436-8326",
            "fax_number": "954-433-0603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 STIRLING RD",
            "address_2": "STE 6",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "33024",
            "telephone_number": "954-436-8326",
            "fax_number": "954-433-0603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY AND FORENSIC PSYCHOLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-30",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "WINICK",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "BARRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-436-8326",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY0004966",
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Forensic",
            "state": "FL",
            "license": "PY0004966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cooper City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.