Comprehensive Psychological Services of the Palm Beaches, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

PY9142 Issued in FL

Legal business name

COMPREHENSIVE PSYCHOLOGICAL SERVICES OF THE PALM BEACHES, LLC

Practice address

9121 N Military TRL Ste 207
Palm Beach Gardens, FL 33410-5988

Phone

(561) 935-8905

NPI assigned

Nov 15, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Jessica E Moe, PSY.D.NPI 1831573609

Title

Sole Member

Phone

(561) 935-8905

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica E Moe, PSY.D.

  • Psychologist
  • Palm Beach Gardens, FL
  • NPI 1831573609
  Medicare reassignment Care Compare group NPD Authorized official
• Lauren Lindsey, LMHC

  • Mental Health Counselor
  • Palm Beach Gardens, FL
  • NPI 1801544846

  Single Specialty

  Medicare reassignment Care Compare group NPD
• John Peter Soldano, LCPC

  • Professional Counselor
  • Scarborough, ME
  • NPI 1881873545

  FL

  Medicare reassignment NPD
• Natalie Lendak, MSW

  • Clinical Social Worker
  • West Palm Beach, FL
  • NPI 1376782649
  NPD (past)

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

{
    "created_epoch": "1510704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697500800000",
    "number": "1841703592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9121 N MILITARY TRL STE 207",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334105988",
            "telephone_number": "561-935-8905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9121 N MILITARY TRL STE 207",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334105988",
            "telephone_number": "561-935-8905"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8259 N Military Trl Ste 13",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334106352",
            "country_code": "US",
            "telephone_number": "561-935-8905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMPREHENSIVE PSYCHOLOGICAL SERVICES OF THE PALM BEACHES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-15",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A",
        "authorized_official_last_name": "MOE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "561-935-8905",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "FL",
            "license": "PY9142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sara Connolly, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.