The Center for Comprehensive Psychological Services, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

THE CENTER FOR COMPREHENSIVE PSYCHOLOGICAL SERVICES, LLC

Practice address

2561 Village Blvd
West Palm Beach, FL 33409-7382

Phone

(561) 501-8905

NPI assigned

Feb 25, 2021

Last updated

Feb 25, 2021By 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. Holly Goller, PSY.D.NPI 1639661754

Title

Executive Director

Phone

(561) 501-8905

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 2

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.

• Holly Elizabeth Goller, PSY.D

  • Psychologist
  • West Palm Beach, FL
  • NPI 1639661754

  Clinical

  NPD Authorized official
• Sandra Lee Duemmler, LMHC, NCC

  • Mental Health Counselor
  • Delray Beach, FL
  • NPI 1114693124
  NPD (past)

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

{
    "created_epoch": "1614211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614211200000",
    "number": "1750975215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 VILLAGE BLVD STE 905-144",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334091803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2561 VILLAGE BLVD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334097382",
            "telephone_number": "561-501-8905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTER FOR COMPREHENSIVE PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-25",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A",
        "authorized_official_last_name": "GOLLER",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "561-501-8905",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "hgoller1985@ccpspsych.com",
            "affiliation": "N",
            "endpointDescription": "encrypted email address",
            "address_1": "2561 Village Blvd",
            "city": "West Palm Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334097382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Clinical Psychologist in West Palm Beach, FL
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; 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.