NPIMap

Organization Active NPI

Psychconcepts, Inc

  • Psychologist
  • Niceville, FL
National Provider Identifier
1851082374
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
PSYCHCONCEPTS, INC
Practice address
4591 E Highway 20 Ste 202H
Niceville, FL 32578-8854
Phone
(561) 223-1727
Fax
(561) 584-7551
NPI assigned
May 16, 2023
Last updated
May 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2023

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

Authorized official

Name
Christine Jean, PSYDNPI 1699872176
Title
Owner
Phone
(561) 223-1727

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

Primary practice location

4591 E Highway 20 Ste 202H
Niceville, FL 32578-8854

Mailing address

6619 S Dixie Hwy # 196
Miami, FL 33143-7919
Phone (561) 223-1727

National Provider Directory

National Provider Directory

Locations

4591 E Highway 20
Ste 202H
Niceville, FL 32578
Phone (561) 223-1727

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1684195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684195200000",
    "number": "1851082374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6619 S DIXIE HWY # 196",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331437919",
            "telephone_number": "561-223-1727",
            "fax_number": "561-584-7551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4591 E HIGHWAY 20 STE 202H",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325788854",
            "telephone_number": "561-223-1727",
            "fax_number": "561-584-7551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHCONCEPTS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-16",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A",
        "authorized_official_last_name": "JEAN",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-223-1727",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niceville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; 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.