NPIMap

Organization Active NPI

Children's Psychological Servcies Center

  • Community/Behavioral Health Agency
  • Tallahassee, FL
National Provider Identifier
1861893653
Registry record updated Sep 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
SS621 Issued in FL
Legal business name
CHILDREN'S PSYCHOLOGICAL SERVCIES CENTER
Practice address
1664-2 Metropolitan Circle
Tallahassee, FL 32308
Phone
(850) 508-6213
NPI assigned
Sep 11, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2014

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

Authorized official

Name
Holly Dickinson, ED.S.
Title
Licensed School Psychologist
Phone
(850) 508-6213

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X SS621 FL Primary

Addresses

Primary practice location

1664-2 Metropolitan Circle
Tallahassee, FL 32308

Mailing address

1664-2 Metropolitan CR
Tallahassee, FL 32309

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1410393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410393600000",
    "number": "1861893653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1664-2 METROPOLITAN CR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "32309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1664-2 METROPOLITAN CIRCLE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "32308",
            "telephone_number": "850-508-6213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S PSYCHOLOGICAL SERVCIES CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-11",
        "last_updated": "2014-09-11",
        "status": "A",
        "authorized_official_last_name": "DICKINSON",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "LICENSED SCHOOL PSYCHOLOGIST",
        "authorized_official_telephone_number": "850-508-6213",
        "authorized_official_credential": "ED.S."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "SS621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2014; 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.