John Adams, PH.D.
Individual provider Active NPI Clinical Psychologist · Coral Springs, FL
NPI 1942306147 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1942306147
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- PY0003222 (FL)
- Practice address
- 1890 N. University Drive
Suite 215
Coral Springs, FL 33071 - Phone
- (954) 227-2700
- NPI assigned
- Sep 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090212000324 | FL | Practitioner - Clinical Psychologist | 0244395937 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY0003222 | FL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindpath Health Florida, PLLC | Clinical | Current |
Accepting new patients |
Locations
1725 N University Dr
Ste 350
Coral Springs, FL 33071
Phone (954) 227-2700
1890 N University Dr
Ste 215
Coral Springs, FL 33071
Phone (954) 227-2700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY0003222 | FL | Yes |
Addresses
Primary practice location
1890 N. University Drive
Suite 215
Coral Springs, FL 33071
Mailing address
1890 N. University Drive
Suite 215
Coral Springs, FL 33071
Phone (954) 227-2700
Other providers in Coral Springs, FL
- Activa Health Services, Inc.
- Activa Homecare, LLC
- Acupuncture Wellness Center of Coral Springs P.a.
- Adam Barbag, DMD PA
- Dawn A Adams-Meredith
- Katie Adams
- Kimberly Lee Adams
- Jessica Allison Adelman
- Adkins Care, LLC
- Crystal R. Adkins
All providers in Coral Springs, FL · Clinical Psychologist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.