Antonio R. Virsida, PH.D., P.a.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY00003255 Issued in FL

Legal business name

ANTONIO R. VIRSIDA, PH.D., P.A.

Practice address

370 Camino Gardens Blvd
106
Boca Raton, FL 33432-5816

Phone

(561) 338-0902

Fax

(561) 338-0433

NPI assigned

Jan 31, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Antonio R. Virsida, PH.D.

Title

Psycholgist/President

Phone

(561) 338-0902

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1327968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327968000000",
    "number": "1750653259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 CAMINO GARDENS BLVD",
            "address_2": "106",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334325816",
            "telephone_number": "561-338-0902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 CAMINO GARDENS BLVD",
            "address_2": "106",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334325816",
            "telephone_number": "561-338-0902",
            "fax_number": "561-338-0433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTONIO R. VIRSIDA, PH.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-31",
        "last_updated": "2012-01-31",
        "status": "A",
        "authorized_official_last_name": "VIRSIDA",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PSYCHOLGIST/PRESIDENT",
        "authorized_official_telephone_number": "561-338-0902",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY00003255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2012; 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.