Individual provider Active NPI

Vaida Kurseviciene, PSYD

  • Clinical Psychologist
  • West Palm Beach, FL
National Provider Identifier
1700660933
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
11936 Issued in FL
Practice address
2435 Presidential Way Apt F
West Palm Beach, FL 33401-1311
Phone
(973) 906-3333
NPI assigned
Aug 21, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 11936 FL Primary

Addresses

Primary practice location

2435 Presidential Way Apt F
West Palm Beach, FL 33401-1311

Mailing address

2435 Presidential Way Apt F
West Palm Beach, FL 33401-1311
Phone (973) 906-3333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 11, 2026 through Feb 11, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11936FLMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1700660933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2435 PRESIDENTIAL WAY APT F",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334011311",
            "telephone_number": "973-906-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 PRESIDENTIAL WAY APT F",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334011311",
            "telephone_number": "973-906-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURSEVICIENE",
        "first_name": "VAIDA",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-21",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "11936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.