Center for Psychological Services Inc

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY3352 Issued in FL

Legal business name

CENTER FOR PSYCHOLOGICAL SERVICES INC

Practice address

4256 Wicks Branch Rd
Saint Augustine, FL 32086-5568

Phone

(904) 269-6677

Fax

(904) 269-6677

NPI assigned

Nov 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Keith Rocky D'Amato, PH.D.

Title

President

Phone

(904) 269-6677

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292371200000",
    "number": "1780864223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1556",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320671556",
            "telephone_number": "904-269-6677",
            "fax_number": "904-269-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4256 WICKS BRANCH RD",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320865568",
            "telephone_number": "904-269-6677",
            "fax_number": "904-269-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR PSYCHOLOGICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2010-12-15",
        "status": "A",
        "authorized_official_last_name": "D'AMATO",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "ROCKY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-269-6677",
        "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": "PY3352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iris Cedeno, ARNP
• Arianna Renee Celano
• Maried Esther Celkis, M.D.
• Center for Comprehensive Services, Inc
• Center for Neurofitness LLC
• Center for Relational Psychotherapy
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• Cindy O Chaconas, DPT, ATC
• Eric James Chaconas, DPT
• Brett Chandler, PT,DPT

• Clinical Psychologist in Saint Augustine, FL
• Providers in Saint Augustine, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2010; 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.