Provider Demographics
NPI:1780830810
Name:CENTER FOR POSITIVE PSYCHOLOGY
Entity Type:Organization
Organization Name:CENTER FOR POSITIVE PSYCHOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:D
Authorized Official - Last Name:KECK
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:407-644-2000
Mailing Address - Street 1:1110 DOUGLAS AVE
Mailing Address - Street 2:STE 3040
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32714-2061
Mailing Address - Country:US
Mailing Address - Phone:407-644-2000
Mailing Address - Fax:407-644-3484
Practice Address - Street 1:1110 DOUGLAS AVE
Practice Address - Street 2:STE 3040
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32714-2061
Practice Address - Country:US
Practice Address - Phone:407-644-2000
Practice Address - Fax:407-644-3484
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-08
Last Update Date:2008-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLM3446101YM0800X
FLPY4007103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty