NPIMap

Organization Active NPI

Psy-Crest Psychological Associates

  • Psychologist
  • Orlando, FL
National Provider Identifier
1689002362
Registry record updated Oct 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY8870 Issued in FL
Legal business name
PSY-CREST PSYCHOLOGICAL ASSOCIATES
Practice address
4213 Summit Creek Blvd Apt 7107
Orlando, FL 32837-4503
Phone
(850) 346-1634
NPI assigned
Oct 16, 2013
Last updated
Oct 16, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2013

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

Authorized official

Name
Richard Sanders
Title
Operations Officer
Phone
(850) 346-1634

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY8870 FL Primary

Addresses

Primary practice location

4213 Summit Creek Blvd Apt 7107
Orlando, FL 32837-4503

Mailing address

4213 Summit Creek Blvd Apt 7107
Orlando, FL 32837-4503
Phone (850) 346-1634

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1381881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381881600000",
    "number": "1689002362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4213 SUMMIT CREEK BLVD APT 7107",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328374503",
            "telephone_number": "850-346-1634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4213 SUMMIT CREEK BLVD APT 7107",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328374503",
            "telephone_number": "850-346-1634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSY-CREST PSYCHOLOGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-16",
        "last_updated": "2013-10-16",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OPERATIONS OFFICER",
        "authorized_official_telephone_number": "850-346-1634"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY8870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2013; 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.