Chelsea Wilcocks, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

11275 Issued in FL

Practice address

3015 N Ocean Blvd Ste C107
Fort Lauderdale, FL 33308-7301

Phone

(954) 870-2739

NPI assigned

Jun 9, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1654732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1922737477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 N OCEAN BLVD STE C107",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333087301",
            "telephone_number": "954-870-2739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 N OCEAN BLVD STE C107",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333087301",
            "telephone_number": "954-870-2739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILCOCKS",
        "first_name": "CHELSEA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-09",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "11275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "simplepractice.com",
            "affiliation": "N",
            "address_1": "3015 N Ocean Blvd Ste C107",
            "city": "Fort Lauderdale",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333087301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• David Wiggins, MD
• Paul Wigoda, M.D.
• Emily Marie Wilbar, OTR/L
• Shelby Lynn Wilbourn, M.D.
• Heather Nicole Wilbur, APRN
• Eric Christopher Wilkerson, MD
• Natasha Wilkes, FNP-BC
• Shanique E Wilkinson
• Will Richardson MD PA
• William T. Joyner, M.D., P.a.

• Clinical Psychologist in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; 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.