Organization Active NPI

Patton Psychology Associates, Inc.

  • Clinical Neuropsychologist
  • Aventura, FL
National Provider Identifier
1790191419
Registry record updated Jul 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PY6970 Issued in FL
Legal business name
PATTON PSYCHOLOGY ASSOCIATES, INC.
Practice address
17501 Biscayne Blvd Ste 450
Aventura, FL 33160-4806
Phone
(786) 519-1088
Fax
(305) 933-5733
NPI assigned
Jul 2, 2014
Last updated
Jul 2, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2014

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

Authorized official

Name
Dr. Doyle E Patton, PH.D.
Title
President/Clinical Neuropsychologis
Phone
(786) 519-1088

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PY6970 FL Primary
Psychologist 103T00000X PY6970 FL

Addresses

Primary practice location

17501 Biscayne Blvd Ste 450
Aventura, FL 33160-4806

Mailing address

17501 Biscayne Blvd Ste 450
Aventura, FL 33160-4806
Phone (786) 519-1088

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050301000692 FL Part B Supplier - Clinic/Group Practice 1052364155 Receives reassigned benefits from 1 practitioner
Practice locations: Oakland Park, FL

National Provider Directory

National Provider Directory

Locations

2200 NW Corporate Blvd
Ste 302
Boca Raton, FL 33431
Phone (561) 241-8512

7401 Wiles Rd
Ste 226
Coral Springs, FL 33067

3403 NW 9th Ave
Ste 801
Oakland Park, FL 33309
Phone (786) 519-1088

Practitioners & affiliated clinicians

Practitioners 1

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": "1404259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404259200000",
    "number": "1790191419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17501 BISCAYNE BLVD STE 450",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331604806",
            "telephone_number": "786-519-1088",
            "fax_number": "305-933-5733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17501 BISCAYNE BLVD STE 450",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331604806",
            "telephone_number": "786-519-1088",
            "fax_number": "305-933-5733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATTON PSYCHOLOGY ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-02",
        "last_updated": "2014-07-02",
        "status": "A",
        "authorized_official_last_name": "PATTON",
        "authorized_official_first_name": "DOYLE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT/CLINICAL NEUROPSYCHOLOGIS",
        "authorized_official_telephone_number": "786-519-1088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY6970",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY6970",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.