Psychotherapy and Consultation Associates, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW 1273 Issued in FL

Legal business name

PSYCHOTHERAPY AND CONSULTATION ASSOCIATES, LLC

Practice address

1605 NW 16TH Ave
Gainesville, FL 32605-4037

Phone

(352) 275-8871

Fax

(904) 212-2129

NPI assigned

Dec 12, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Maria I Vera, PH.D.

Title

Owner

Phone

(352) 275-8871

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1386806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386892800000",
    "number": "1801227129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 357264",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326357264",
            "telephone_number": "352-275-8871",
            "fax_number": "904-212-2129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 NW 16TH AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054037",
            "telephone_number": "352-275-8871",
            "fax_number": "904-212-2129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOTHERAPY AND CONSULTATION ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-12",
        "last_updated": "2013-12-13",
        "status": "A",
        "authorized_official_last_name": "VERA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-275-8871",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 1273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Ivette Pryor
• Rene Przkora, M.D., PH.D., MMS
• Paul Joseph Psychas, M.D.
• Psychdynamics, P.a.
• Psychological Care and Consultation, LLC
• Psynoptic PLLC
• Publix Super Markets Inc
• Publix Super Markets Inc
• Publix Super Markets Inc
• Publix Super Markets Inc

• Clinical Social Worker in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2013; 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.