Sunshine Psychological Center LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MT1842 Issued in FL

Legal business name

SUNSHINE PSYCHOLOGICAL CENTER LLC

Practice address

5730 Loma Vista Drive West
Davenport, FL 33896

Phone

(863) 424-4923

Fax

(863) 424-4946

NPI assigned

May 15, 2007

Organization subpart

No

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

Authorized official

Name

Gliceria Zoraida Calvo -Scott

Title

Owner Therapist

Phone

(863) 424-4946

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217548800000",
    "number": "1972719193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5856 LOMA VISTA DRIVE WEST",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "33896",
            "telephone_number": "863-424-4946",
            "fax_number": "863-424-4946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5730 LOMA VISTA DRIVE WEST",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "33896",
            "telephone_number": "863-424-4923",
            "fax_number": "863-424-4946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE PSYCHOLOGICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2008-08-01",
        "status": "A",
        "authorized_official_last_name": "CALVO -SCOTT",
        "authorized_official_first_name": "GLICERIA",
        "authorized_official_middle_name": "ZORAIDA",
        "authorized_official_title_or_position": "OWNER THERAPIST",
        "authorized_official_telephone_number": "863-424-4946"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT1842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Davenport, FL
• Providers in Davenport, FL by specialty
• Marriage & Family Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.