Active NPI
Rhonda Perdue PHD PA
- Clinical Psychologist
- Wellington, FL
National Provider Identifier
1710152780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY5257
- Legal business name
- RHONDA PERDUE PHD PA
- Practice address
- 10111 W Forest Hill Blvd
Suite 369
Wellington, FL 33414-6108 - Phone
- (561) 784-7767
- NPI assigned
- Apr 29, 2008
- Organization subpart
- Yes
- Parent organization
- RHONDA PERDUE PHD PA
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Karl Perdue
- Title
- Vice President
- Phone
- (561) 271-4394
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY5257 | FL | Primary |
Addresses
Primary practice location
10111 W Forest Hill Blvd
Suite 369
Wellington, FL 33414-6108
Mailing address
10111 W Forest Hill Blvd
Suite 369
Wellington, FL 33414-6108
Phone (561) 784-7767
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| K8783 | Other | FL | MEDICARE GROUP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Part of
- Rhonda Perdue PHD PA
Locations
10111 Forest Hill Blvd
Rm 369
West Palm Bch, FL 33414
Phone (561) 784-7767
Networks
- HealthSun Health Plans Network
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Wellington, FL
- NPI 1992861272
-
- Counseling Psychologist
- Wellington, FL
- NPI 1912121971
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209427200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1209513600000",
"number": "1710152780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10111 W FOREST HILL BLVD",
"address_2": "SUITE 369",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334146108",
"telephone_number": "561-784-7767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10111 W FOREST HILL BLVD",
"address_2": "SUITE 369",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334146108",
"telephone_number": "561-784-7767"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RHONDA PERDUE PHD PA",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "RHONDA PERDUE PHD PA",
"enumeration_date": "2008-04-29",
"last_updated": "2008-04-30",
"status": "A",
"authorized_official_last_name": "PERDUE",
"authorized_official_first_name": "KARL",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "561-271-4394"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY5257",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "K8783",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wellington, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.