Individual provider Active NPI

Victor P Pascale

  • Clinical Psychologist
  • Lake Worth, FL
National Provider Identifier
1821025727
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY4710 Issued in FL
Practice address
9744 Wood Pine CT
Lake Worth, FL 33467-2340
Phone
(561) 967-3050
Fax
(561) 968-2069
NPI assigned
Jun 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY4710 FL Primary

Addresses

Primary practice location

9744 Wood Pine CT
Lake Worth, FL 33467-2340

Mailing address

9744 Wood Pine CT
Lake Worth, FL 33467-2340
Phone (561) 967-3050

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

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821025727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9744 WOOD PINE CT",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334672340",
            "telephone_number": "561-967-3050",
            "fax_number": "561-968-2069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9744 WOOD PINE CT",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334672340",
            "telephone_number": "561-967-3050",
            "fax_number": "561-968-2069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASCALE",
        "first_name": "VICTOR",
        "middle_name": "P",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY4710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, 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.

Verify at the official NPI Registry.