Active NPI
Kathy D. Pearce, PSY.D
- Clinical Psychologist
- Melbourne, FL
National Provider Identifier
1801019963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY6930
- Practice address
- 729 S Apollo Blvd
Melbourne, FL 32901-1457 - Phone
- (321) 723-2330
- Fax
- (321) 723-2330
- NPI assigned
- Apr 10, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY6930 | FL | Primary |
Addresses
Primary practice location
729 S Apollo Blvd
Melbourne, FL 32901-1457
Mailing address
729 S Apollo Blvd
Melbourne, FL 32901-1457
Phone (321) 723-2330
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY6930 | FL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kathy D. Pearce, Psy. D., PA | Clinical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Psychologist
- Melbourne, FL
- NPI 1376797670
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801019963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "729 S APOLLO BLVD",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329011457",
"telephone_number": "321-723-2330",
"fax_number": "321-723-2330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "729 S APOLLO BLVD",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329011457",
"telephone_number": "321-723-2330",
"fax_number": "321-723-2330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARCE",
"first_name": "KATHY",
"middle_name": "D.",
"credential": "PSY.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY6930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.