Youth Psychological Assessment & Therapy Center, Inc.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY6982 Issued in FL

Legal business name

YOUTH PSYCHOLOGICAL ASSESSMENT & THERAPY CENTER, INC.

Practice address

1452 Oakfield Dr
Brandon, FL 33511-4853

Phone

(813) 689-2525

Fax

(813) 689-4433

NPI assigned

Jun 18, 2014

Last updated

Jun 18, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Garin Vick, PSY.D.NPI 1194758169

Title

Doctor

Phone

(813) 689-2525

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Garin Douglas Vick, PSY.D.

  • Clinical Psychologist
  • Brandon, FL
  • NPI 1194758169
  Authorized official Same address or phone

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

{
    "created_epoch": "1403049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403049600000",
    "number": "1942614854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1452 OAKFIELD DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114853",
            "telephone_number": "813-689-2525",
            "fax_number": "813-689-4433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1452 OAKFIELD DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114853",
            "telephone_number": "813-689-2525",
            "fax_number": "813-689-4433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH PSYCHOLOGICAL ASSESSMENT & THERAPY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-18",
        "last_updated": "2014-06-18",
        "status": "A",
        "authorized_official_last_name": "VICK",
        "authorized_official_first_name": "GARIN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "813-689-2525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY6982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yolanda L Anoos Cordon MD PA
• Joyce Young, A.R.N.P.
• Lea Young, NP
• Sybil Ann Young
• Zaranda Young, RN
• Ivonne Zablah, BCBA
• James A Zaccari, DO
• Ashvin Babu Zachariah, MD
• Areeb Zafar, M.D.
• Syed Mustafa Zaidi

• Clinical Psychologist in Brandon, FL
• Providers in Brandon, 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 18, 2014; 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.