Briley Elizabeth Proctor, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY 6963 Issued in FL

Practice address

2898 Mahan Dr
Suite 5
Tallahassee, FL 32308-5463

Phone

(850) 552-0691

NPI assigned

Apr 27, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Holly Schilling

  • Clinical Psychologist
  • Tallahassee, FL
  • NPI 1598295560
  NPD (past)

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

{
    "created_epoch": "1272326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272326400000",
    "number": "1801113162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2327 ARMISTEAD RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323080905",
            "telephone_number": "850-321-4499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2898 MAHAN DR",
            "address_2": "SUITE 5",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085463",
            "telephone_number": "850-552-0691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROCTOR",
        "first_name": "BRILEY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-27",
        "last_updated": "2010-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY 6963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Pritchett
• Tiffany J Pritchett
• Proactive Medical Alliance
• Amber Proctor, LCSW
• Betty J Proctor, MSW, ILCSW
• Diana Marie Proctor, MSW
• Professional Park Pediatrics P.a.
• Progressive Pediatric Therapy Services
• Progressive Pediatric Therapy Services Early Intervention
• Progressus Therapy, LLC

• Psychologist in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.