Four Seasons Psychological Services Inc

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY4688 Issued in FL

Legal business name

FOUR SEASONS PSYCHOLOGICAL SERVICES INC

Practice address

777 37TH St
Suite B107
Vero Beach, FL 32960-4873

Phone

(772) 538-1038

NPI assigned

Jun 26, 2013

Last updated

Oct 18, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Soren James Barrett, PH.D.NPI 1437182243

Title

Owner

Phone

(772) 538-4656

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Soren James Barrett, PH.D

  • Psychologist
  • Vero Beach, FL
  • NPI 1437182243
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1372204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571356800000",
    "number": "1740620525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3625 EAGLE DR",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329631650",
            "telephone_number": "772-538-1038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 37TH ST",
            "address_2": "SUITE B107",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604873",
            "telephone_number": "772-538-1038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR SEASONS PSYCHOLOGICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-26",
        "last_updated": "2019-10-18",
        "status": "A",
        "authorized_official_last_name": "BARRETT",
        "authorized_official_first_name": "SOREN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-538-4656",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY4688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Anthony Fortunato, MD
• Herbert Brandt Foster, DDS
• Charlene Marylee Foulk, MA
• Foundation First Airway Center PLLC
• Herman Michael Fountain, M.D.
• Farah Yolanda Fourcand, M.D.
• Foxglove Transport Services LLC (Foxglove Transport Services)
• Justine Ann Foxwell, APRN, FNP-C
• Kathleen Fraga, MD
• Petros Fragiskakis, DPT

• Psychologist in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2019; 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.