Active NPI
J M Atwater, PHD
- Clinical Psychologist
- Palm Beach Gardens, FL
National Provider Identifier
1992164339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY0003419
- Legal business name
- J M ATWATER, PHD
- Practice address
- 4362 Northlake Blvd
Suite 108
Palm Beach Gardens, FL 33410-6275 - Phone
- (561) 694-1887
- Fax
- (561) 626-2131
- NPI assigned
- Feb 13, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. J M Atwater, PH.D.
- Title
- Owner
- Phone
- (561) 694-1887
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY0003419 | FL | Primary |
Addresses
Primary practice location
4362 Northlake Blvd
Suite 108
Palm Beach Gardens, FL 33410-6275
Mailing address
4362 Northlake Blvd
Suite 108
Palm Beach Gardens, FL 33410-6275
Phone (561) 694-1887
National Provider Directory
National Provider DirectoryLocations
4362 Northlake Blvd
Ste 108
Palm Beach Gardens, FL 33410
Phone (518) 581-8400
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychologist
- Palm Beach Gardens, FL
- NPI 1861475881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455321600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1455321600000",
"number": "1992164339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4362 NORTHLAKE BLVD",
"address_2": "SUITE 108",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334106275",
"telephone_number": "561-694-1887",
"fax_number": "561-626-2131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4362 NORTHLAKE BLVD",
"address_2": "SUITE 108",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334106275",
"telephone_number": "561-694-1887",
"fax_number": "561-626-2131"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "J M ATWATER, PHD",
"organizational_subpart": "NO",
"enumeration_date": "2016-02-13",
"last_updated": "2016-02-13",
"status": "A",
"authorized_official_last_name": "ATWATER",
"authorized_official_first_name": "J",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "561-694-1887",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY0003419",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Beach Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.