Organization Active NPI

New Objectives Psychology, Counseling & Neurofeedback Center

  • Psychologist
  • Longwood, FL
National Provider Identifier
1740489368
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
NEW OBJECTIVES PSYCHOLOGY, COUNSELING & NEUROFEEDBACK CENTER
Practice address
620 Crown Oak Centre Dr
Longwood, FL 32750-6188
Phone
(407) 339-1159
Fax
(407) 339-2405
NPI assigned
Jul 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Authorized official

Name
Dr. Sharon R. Thetford, PSY. D.NPI 1952441560
Title
Owner
Phone
(407) 339-1159

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

620 Crown Oak Centre Dr
Longwood, FL 32750-6188

Mailing address

620 Crown Oak Centre Dr
Longwood, FL 32750-6188
Phone (407) 339-1159

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131126001613 FL Part B Supplier - Clinic/Group Practice 5395971147 Receives reassigned benefits from 2 practitioners
Practice locations: Altamonte Springs, FL; Longwood, FL

National Provider Directory

National Provider Directory

Locations

370 Centerpointe Cir
Ste 1160
Altamonte Springs, FL 32701
Phone (407) 339-1159

620 Crown Oak Centre Dr
Longwood, FL 32750
Phone (407) 339-1159

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710460800000",
    "number": "1740489368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 CROWN OAK CENTRE DR",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327506188",
            "telephone_number": "407-339-1159",
            "fax_number": "407-339-2405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 CROWN OAK CENTRE DR",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327506188",
            "telephone_number": "407-339-1159",
            "fax_number": "407-339-2405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW OBJECTIVES PSYCHOLOGY, COUNSELING & NEUROFEEDBACK CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-13",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A",
        "authorized_official_last_name": "THETFORD",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-339-1159",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY. D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longwood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; 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.

Verify at the official NPI Registry.