Psychological Care Services of FL, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

PSYCHOLOGICAL CARE SERVICES OF FL, LLC

Practice address

495 Grand Blvd
Ste 206
Miramar Beach, FL 32550-1897

Phone

(985) 641-2513

Fax

(985) 265-4155

NPI assigned

Mar 28, 2012

Organization subpart

No

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

Authorized official

Name

Gertrude M ParkerNPI 1689728958

Title

Sole MBR

Phone

(985) 641-2513

Specialties & licenses 2

Addresses

Locations

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

• Gertrude M Parker, OCCUPATIONAL THERAPI

  • Occupational Therapist
  • Slidell, LA
  • NPI 1689728958
  NPD (past) Authorized official

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

{
    "created_epoch": "1332892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377043200000",
    "number": "1881960474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 DOUBLOON DR",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704612715",
            "telephone_number": "985-641-2513",
            "fax_number": "985-265-4155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 GRAND BLVD",
            "address_2": "STE 206",
            "city": "MIRAMAR BEACH",
            "state": "FL",
            "postal_code": "325501897",
            "telephone_number": "985-641-2513",
            "fax_number": "985-265-4155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL CARE SERVICES OF FL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-28",
        "last_updated": "2013-08-21",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "GERTRUDE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "985-641-2513"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Polarfrogrx Inc
• Katherine Lee Rourke Porter, ARNP
• Gregory Zamar Posey
• Jennifer Marie Potts, RBT-17-40864
• Allen Prier
• Jacquelyn Esther Puglia, M.D.
• Christina Pullam, RN
• Presley Noelle Pulse, FNP-C
• Travis S Raymer
• RCG Pensacola, LLC

• All providers in Miramar Beach, FL
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2013; 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.