Organization Active NPI

Center for Psychological Health & Behavioral Wellness, PLLC

  • Clinical Psychologist
  • Kissimmee, FL
National Provider Identifier
1740616440
Registry record updated Sep 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY8547 Issued in FL
Legal business name
CENTER FOR PSYCHOLOGICAL HEALTH & BEHAVIORAL WELLNESS, PLLC
Practice address
722 Patrick St Ste 204
Kissimmee, FL 34741-5605
Phone
(407) 607-4347
Fax
(407) 601-4027
NPI assigned
Sep 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2013

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

Authorized official

Name
Dr. Danna B Costa-Sahs, PSY.D.
Title
Licensed Psychologist
Phone
(407) 607-4347

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PY8547 FL Primary

Addresses

Primary practice location

722 Patrick St Ste 204
Kissimmee, FL 34741-5605

Mailing address

722 Patrick St Ste 204
Kissimmee, FL 34741-5605
Phone (407) 607-4347

National Provider Directory

National Provider Directory

Locations

722 Patrick St
Ste 204
Kissimmee, FL 34741
Phone (407) 607-4347

13538 Village Park Dr
Unit 160
Orlando, FL 32837
Phone (407) 607-4347

NPI Registry JSON

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

{
    "created_epoch": "1380067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380067200000",
    "number": "1740616440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 PATRICK ST STE 204",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347415605",
            "telephone_number": "407-607-4347",
            "fax_number": "407-601-4027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 PATRICK ST STE 204",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347415605",
            "telephone_number": "407-607-4347",
            "fax_number": "407-601-4027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR PSYCHOLOGICAL HEALTH & BEHAVIORAL WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-25",
        "last_updated": "2013-09-25",
        "status": "A",
        "authorized_official_last_name": "COSTA-SAHS",
        "authorized_official_first_name": "DANNA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "407-607-4347",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY8547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2013; 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.