Medical Psychology Center PA

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY7252 Issued in FL

Legal business name

MEDICAL PSYCHOLOGY CENTER PA

Practice address

570 Memorial Cir
Ste 150
Ormond Beach, FL 32174-5002

Phone

(386) 672-9250

Fax

(386) 672-9251

NPI assigned

Jun 29, 2007

Last updated

Jan 16, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Katherine Marie Billiot, PSY.D.NPI 1851357990

Title

President

Phone

(386) 672-9250

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 2

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.

• Katherine Marie Billiot, PSY.D.

  • Clinical Psychologist
  • Ormond Beach, FL
  • NPI 1851357990
  Medicare reassignment Care Compare group NPD Authorized official
• Heather Pepe, LCSW

  • Professional Counselor
  • Daytona Beach, FL
  • NPI 1255747515
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232064000000",
    "number": "1881891174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 MEMORIAL CIR",
            "address_2": "STE 150",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321745002",
            "telephone_number": "386-672-9250",
            "fax_number": "386-672-9251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 MEMORIAL CIR",
            "address_2": "STE 150",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321745002",
            "telephone_number": "386-672-9250",
            "fax_number": "386-672-9251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL PSYCHOLOGY CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-29",
        "last_updated": "2009-01-16",
        "status": "A",
        "authorized_official_last_name": "BILLIOT",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-672-9250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY7252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Susan McQuade, P.T.
• Jenna McVay, MSN, APRN, CPNP-PC
• Mecnb, LLC (Ormond Beach UC)
• Med-One Shuttle, Inc.
• Medical Massage Services Inc of Daytona Beach
• Monique Medina, PA
• Galia Leilani Medrano Ramirez, DMD
• Meese Tolland Ritter & Williams MD PA (Colon & Rectal Surgery Associates)
• David L Meese, MD
• Mefl, LLC (Miracle-Ear)

• Clinical Psychologist in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2009; 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.