Stanely E Althof, PHD
Individual provider Active NPI Clinical Psychologist · West Palm Beach, FL
NPI 1699709287 · NPPES record last updated Jun 30, 2016
Key facts
- NPI
- 1699709287
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- PY6913 (FL)
- Practice address
- 1515 N Flagler Dr
Suite 540
West Palm Beach, FL 33401-3428 - Phone
- (561) 822-5454
- NPI assigned
- Jul 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 1, 2024 through Jul 1, 2028
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY6913 | FL | MD | Clinical Psychologist |
| 2370 | OH | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Family Medicine Association | Past | Accepting new patients | |
| University of Miami | Past | Accepting new patients | |
| Rachel Needle, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY6913 | FL | Yes |
Addresses
Primary practice location
1515 N Flagler Dr
Suite 540
West Palm Beach, FL 33401-3428
Mailing address
1515 N Flagler Dr
Suite 540
West Palm Beach, FL 33401-3428
Phone (561) 822-5454
Other providers in West Palm Beach, FL
- Alternative Plus Inc.
- Alternatives for You, LLC
- Alternatives in Treatment
- Alternatives in Treatment, LLC
- Corinne Erin Althauser
- Kayanah Dominique Altidor
- Sadia Altidore
- Dara Emma Altman I
- Roxanne Lee Altrui
- Amanda Cristina Alvarez Alvarez
All providers in West Palm Beach, FL · Clinical Psychologist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.