Primary Care Psychology, PLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY6322 Issued in FL

Legal business name

PRIMARY CARE PSYCHOLOGY, PLC

Practice address

1990 N Federal Hwy
Suite C
Pompano Beach, FL 33062-1032

Phone

(954) 788-9399

Fax

(954) 905-4990

NPI assigned

Sep 1, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Michael Cristiano, PSY.D.

Title

Psychologist

Phone

(954) 788-9399

Specialties & licenses 6

Addresses

Other names 1

• Dr. Michael Cristiano Other name

Locations

Practitioners 1

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

• William Wayne Cheatham Jr., D.O.

  • Family Medicine Physician
  • Raleigh, NC
  • NPI 1639154198
  NPD

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

{
    "created_epoch": "1188604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199404800000",
    "number": "1962696955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1990 N FEDERAL HWY",
            "address_2": "SUITE C",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330621032",
            "telephone_number": "954-788-9399",
            "fax_number": "954-905-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 N FEDERAL HWY",
            "address_2": "SUITE C",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330621032",
            "telephone_number": "954-788-9399",
            "fax_number": "954-905-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE PSYCHOLOGY, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-01",
        "last_updated": "2008-01-04",
        "status": "A",
        "authorized_official_last_name": "CRISTIANO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "954-788-9399",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY6322",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "PY6322",
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "PY6322",
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "PY6322",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "FL",
            "license": "PY6322",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "FL",
            "license": "PY6322",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Michael Cristiano",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Clinical Psychologist in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2008; 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.