Mary Dean Atwood PHD LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

550 Issued in NM

Legal business name

MARY DEAN ATWOOD PHD LLC

Practice address

4070 Oakhurst Dr
Sarasota, FL 34233-1444

Phone

(941) 487-7890

Fax

(941) 487-7890

NPI assigned

May 18, 2006

Organization subpart

No

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

Authorized official

Name

Mary Dean Atwood, PHD

Title

President/Psychologist

Phone

(941) 487-7890

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336003200000",
    "number": "1760435754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4070 OAKHURST DR",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342331444",
            "telephone_number": "941-487-7890",
            "fax_number": "941-487-7890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4070 OAKHURST DR",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342331444",
            "telephone_number": "941-487-7890",
            "fax_number": "941-487-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY DEAN ATWOOD PHD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2012-05-03",
        "status": "A",
        "authorized_official_last_name": "ATWOOD",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "PRESIDENT/PSYCHOLOGIST",
        "authorized_official_telephone_number": "941-487-7890",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NM",
            "license": "550",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NM",
            "license": "550",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "62786768",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Justo Josue Martinez, PTA
• Sara Irene Marton
• Soniya Marwaha, MD, MPH
• Mary C Brand
• Mary Cetan Dom PA
• Mary E. Kasper, PH.D., PA
• Mary G. Davenport, PH.D.
• Mary Jo Baize OD PA
• Amanda Mashni, PHARM D
• Robert Christopher Masino, DC

• Clinical Psychologist in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.