Organization Active NPI

Center for Clinical Psychology PLLC

  • Clinical Psychologist
  • Coconut Creek, FL
National Provider Identifier
1629511282
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
CENTER FOR CLINICAL PSYCHOLOGY PLLC
Practice address
4851 W Hillsboro Blvd Ste A1
Coconut Creek, FL 33073-4355
Phone
(561) 463-2235
NPI assigned
Nov 29, 2016
Last updated
Apr 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Authorized official

Name
Dr. Ilene KaskelNPI 1396048575
Title
Licensed Psychologist/ Manager
Phone
(451) 463-2235

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

4851 W Hillsboro Blvd Ste A1
Coconut Creek, FL 33073-4355

Mailing address

11089 Harbour Springs Cir
Boca Raton, FL 33428-1244
Phone (561) 463-2235

National Provider Directory

National Provider Directory

Locations

8177 Glades Rd
Ste 207
Boca Raton, FL 33434
Phone (561) 461-7273

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1480377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714003200000",
    "number": "1629511282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11089 HARBOUR SPRINGS CIR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334281244",
            "telephone_number": "561-463-2235",
            "fax_number": "561-300-2950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4851 W HILLSBORO BLVD STE A1",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734355",
            "telephone_number": "561-463-2235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR CLINICAL PSYCHOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-29",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A",
        "authorized_official_last_name": "KASKEL",
        "authorized_official_first_name": "ILENE",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST/ MANAGER",
        "authorized_official_telephone_number": "451-463-2235",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coconut Creek, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; 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.