Dr Sheldon H Rifkin PA

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY2546 Issued in FL

Legal business name

DR SHELDON H RIFKIN PA

Practice address

612 NE Bent Paddle LN
Port St Lucie, FL 34983-3528

Phone

(772) 465-3613

Fax

(772) 878-4070

NPI assigned

Mar 6, 2008

Organization subpart

No

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

Authorized official

Name

Katy Purcell

Title

Administrator

Phone

(772) 465-3613

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1740450709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 NE BENT PADDLE LN",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349833528",
            "telephone_number": "772-465-3613",
            "fax_number": "772-878-4070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 NE BENT PADDLE LN",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349833528",
            "telephone_number": "772-465-3613",
            "fax_number": "772-878-4070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR SHELDON H RIFKIN PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-06",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "PURCELL",
        "authorized_official_first_name": "KATY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "772-465-3613"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY2546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; 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.