Peace Time Counseling Center LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY2178 Issued in FL

Legal business name

PEACE TIME COUNSELING CENTER LLC

Practice address

1025 W New York Avenue
Deland, FL 32720

Phone

(386) 943-9443

Fax

(386) 943-9883

NPI assigned

Mar 1, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Bonnie Andersen Engel, PHDNPI 1811154446

Title

Psychologist - Owner

Phone

(386) 943-9443

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Bonnie Andersen Engel, PHD

  • Psychologist
  • Deland, FL
  • NPI 1811154446
  NPD (past) Authorized official

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649308768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 W NEW YORK AVENUE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "32720",
            "telephone_number": "386-943-9443",
            "fax_number": "386-943-9883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 W NEW YORK AVENUE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "32720",
            "telephone_number": "386-943-9443",
            "fax_number": "386-943-9883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE TIME COUNSELING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ENGEL",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "ANDERSEN",
        "authorized_official_title_or_position": "PSYCHOLOGIST - OWNER",
        "authorized_official_telephone_number": "386-943-9443",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY2178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL",
            "identifier": "54840",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Casey Patrick, MD
• Michelle Patterson, LMHC
• Adam Michael Paulson, PA-C
• Caroline Pawlak, D.M.D.
• Roger Pawlak Jr., LMHC
• David Peel
• Laurie Peery, PHARMD
• Blessing E Pereira, LMHC
• Stephanie Michelle Perez Colon
• Eolia Maria Perez Treto, RBT

• Psychologist in Deland, FL
• Providers in Deland, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.