Palm Cove Psychology Group, PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

PALM COVE PSYCHOLOGY GROUP, PLLC

Practice address

1500 Gateway Blvd Ste 220
Boynton Beach, FL 33426-7233

Phone

(561) 903-0078

Fax

(561) 903-0079

NPI assigned

Oct 21, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Andrea Hanley, PH.D.NPI 1982097093

Title

Licensed Psychologist

Phone

(561) 903-0078

Specialties & licenses 4

Addresses

Other names 2

• Andrea Hanley, PhD Doing business as
• Dr. Andrea Hanley, Ph.D., LLC Former legal business name

Practitioners 1

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

• Andrea Hanley, PH.D.

  • Clinical Psychologist
  • Boynton Beach, FL
  • NPI 1982097093
  NPD Authorized official

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603238400000",
    "number": "1891394755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 GATEWAY BLVD STE 220",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334267233",
            "telephone_number": "561-903-0078",
            "fax_number": "561-903-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 GATEWAY BLVD STE 220",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334267233",
            "telephone_number": "561-903-0078",
            "fax_number": "561-903-0079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM COVE PSYCHOLOGY GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-21",
        "last_updated": "2020-10-21",
        "certification_date": "2020-08-13",
        "status": "A",
        "authorized_official_last_name": "HANLEY",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "561-903-0078",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Andrea Hanley, PhD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dr. Andrea Hanley, Ph.D., LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Clinical Psychologist in Boynton Beach, FL
• Providers in Boynton 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 Oct 21, 2020; 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.