NPIMap

Organization Active NPI

Christina Caldwell PSYD PA

  • Psychologist
  • Clermont, FL
National Provider Identifier
1821474529
Registry record updated Aug 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY9296 Issued in FL
Legal business name
CHRISTINA CALDWELL PSYD PA
Practice address
2505 Rollins Ave
Clermont, FL 34711-6750
Phone
(352) 396-1086
NPI assigned
Aug 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2015

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

Authorized official

Name
Dr. Christina Caldwell, PSY.D.
Title
President
Phone
(352) 396-1086

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PY9296 FL Primary

Addresses

Primary practice location

2505 Rollins Ave
Clermont, FL 34711-6750

Mailing address

2505 Rollins Ave
Clermont, FL 34711-6750

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1438646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438646400000",
    "number": "1821474529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 ROLLINS AVE",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347116750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 ROLLINS AVE",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347116750",
            "telephone_number": "352-396-1086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTINA CALDWELL PSYD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-04",
        "last_updated": "2015-08-04",
        "status": "A",
        "authorized_official_last_name": "CALDWELL",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-396-1086",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY9296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2015; 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.