NPIMap

Organization Active NPI

Weston Psychcare PA

  • Psychologist
  • Weston, FL
National Provider Identifier
1770680704
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
WESTON PSYCHCARE PA
Practice address
2771 Executive Park Dr
Suite 4
Weston, FL 33331
Phone
(954) 385-4696
Fax
(954) 385-8385
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Seth L Grobman, PSYDNPI 1669413308
Title
President
Phone
(954) 385-4696

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

2771 Executive Park Dr
Suite 4
Weston, FL 33331

Mailing address

2771 Executive Park Dr
Suite 4
Weston, FL 33331
Phone (954) 385-4696

National Provider Directory

National Provider Directory

Locations

2625 Executive Park Dr
Ste 3
Weston, FL 33331
Phone (954) 217-1442

2771 Executive Park Dr
Ste 4
Weston, FL 33331
Phone (954) 385-4696

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770680704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2771 EXECUTIVE PARK DR",
            "address_2": "SUITE 4",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "33331",
            "telephone_number": "954-385-4696",
            "fax_number": "954-385-8385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2771 EXECUTIVE PARK DR",
            "address_2": "SUITE 4",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "33331",
            "telephone_number": "954-385-4696",
            "fax_number": "954-385-8385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTON PSYCHCARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GROBMAN",
        "authorized_official_first_name": "SETH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-385-4696",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.