Organization Active NPI

Fresh Perspective Psychology, LLC

  • Clinical Psychologist
  • Boca Raton, FL
National Provider Identifier
1942706247
Registry record updated Sep 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
9855 Issued in MA
Legal business name
FRESH PERSPECTIVE PSYCHOLOGY, LLC
Practice address
4800 N Federal Highway
Boca Raton, FL 33431-5188
Phone
(781) 312-2580
Fax
(781) 312-2580
NPI assigned
Apr 4, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2020

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

Authorized official

Name
Paola Rodriguez, PHDNPI 1326231697
Title
Owner
Phone
(781) 312-2580

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 9855 MA Primary

Addresses

Primary practice location

4800 N Federal Highway
Boca Raton, FL 33431-5188

Mailing address

7491 N Federal Hwy Ste C5
Boca Raton, FL 33487-1658
Phone (781) 312-2580

National Provider Directory

National Provider Directory

Locations

7491 N Federal Hwy
Ste C5
Boca Raton, FL 33487

40 Crescent St
Ste 206
Waltham, MA 02453

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1522800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600041600000",
    "number": "1942706247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7491 N FEDERAL HWY STE C5",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334871658",
            "telephone_number": "781-312-2580",
            "fax_number": "781-312-2580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 N FEDERAL HIGHWAY",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334315188",
            "telephone_number": "781-312-2580",
            "fax_number": "781-312-2580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH PERSPECTIVE PSYCHOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-04",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "PAOLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-312-2580",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "9855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.