Vicie Hurst, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY9621 Issued in FL

Practice address

4111 Pictor LN
Psychology BLDG
Orlando, FL 32816-8032

Phone

(407) 823-0967

NPI assigned

Oct 27, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1477526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477526400000",
    "number": "1891247698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4111 PICTOR LN",
            "address_2": "PSYCHOLOGY BLDG",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328168032",
            "telephone_number": "407-823-0967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 PICTOR LN",
            "address_2": "PSYCHOLOGY BLDG",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328168032",
            "telephone_number": "407-823-0967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURST",
        "first_name": "VICIE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-27",
        "last_updated": "2016-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY9621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cayce Hurley, PHTSICAL THERAPIST
• Marisa Hurlock
• Judith R Huron
• Khalia Beverly Hurst
• Larry L Hurst, MD
• Sarah Hurt, LMT, COTA
• Julie M Hurtado Castro, MD
• Gabriel Alexander Hurtado Gomez, M.D.
• Camila Queiroz Hurtado
• Eileen Hurtado

• Clinical Psychologist in Orlando, FL
• Providers in Orlando, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; 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.