Organization Active NPI

Penelope L. Norton, PHD

  • Clinical Psychologist
  • Ormond Beach, FL
National Provider Identifier
1952764060
Registry record updated Apr 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY0003198 Issued in FL
Legal business name
PENELOPE L. NORTON, PHD
Practice address
555 W Granada Blvd Ste E3
Ormond Beach, FL 32174-9401
Phone
(386) 676-5420
NPI assigned
Apr 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2016

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

Authorized official

Name
Mrs. Becky Morey
Title
Office Manager
Phone
(386) 676-5420

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X PY0003198 FL Primary
Clinical Child & Adolescent PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC2200X PY0003198 FL
Group Psychotherapy PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TP2701X PY0003198 FL
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X PY0003198 FL

Addresses

Primary practice location

555 W Granada Blvd Ste E3
Ormond Beach, FL 32174-9401

Mailing address

555 W Granada Blvd Ste E3
Ormond Beach, FL 32174-9401
Phone (386) 676-5420

Other identifiers 1

IdentifierTypeStateIssuer
75607OtherFLBCBS

National Provider Directory

National Provider Directory

Locations

555 W Granada Blvd
Ste E3
Ormond Beach, FL 32174
Phone (386) 676-5420

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": "1459814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459814400000",
    "number": "1952764060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 W GRANADA BLVD STE E3",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321749401",
            "telephone_number": "386-676-5420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 W GRANADA BLVD STE E3",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321749401",
            "telephone_number": "386-676-5420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENELOPE L. NORTON, PHD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-05",
        "last_updated": "2016-04-05",
        "status": "A",
        "authorized_official_last_name": "MOREY",
        "authorized_official_first_name": "BECKY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "386-676-5420",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY0003198",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "FL",
            "license": "PY0003198",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "FL",
            "license": "PY0003198",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "PY0003198",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "75607",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2016; 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.