Organization Active NPI

Wilmoth Inc.

  • Psychologist
  • Brooksville, FL
National Provider Identifier
1821352873
Registry record updated Jun 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
DY2696 Issued in FL
Legal business name
WILMOTH INC.
Practice address
16219 Citrus Way
Brooksville, FL 34614-0856
Phone
(352) 428-4480
NPI assigned
Jun 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2012

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

Authorized official

Name
Patricia Wilmoth
Title
President
Phone
(352) 428-4480

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X DY2696 FL Primary

Addresses

Primary practice location

16219 Citrus Way
Brooksville, FL 34614-0856

Mailing address

16219 Citrus Way
Brooksville, FL 34614-0856

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1340582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340582400000",
    "number": "1821352873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16219 CITRUS WAY",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346140856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16219 CITRUS WAY",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346140856",
            "telephone_number": "352-428-4480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILMOTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-25",
        "last_updated": "2012-06-25",
        "status": "A",
        "authorized_official_last_name": "WILMOTH",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-428-4480"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": "DY2696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooksville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2012; 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.