Provider Demographics
NPI:1932483922
Name:CENTER FOR PSYCHOLOGICAL & BEHAVIORAL SCIENCE PL
Entity Type:Organization
Organization Name:CENTER FOR PSYCHOLOGICAL & BEHAVIORAL SCIENCE PL
Other - Org Name:CENTER FOR PSYCHOLOGICAL & BEHAVIORAL SCIENCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:J
Authorized Official - Last Name:SEAY
Authorized Official - Suffix:JR
Authorized Official - Credentials:PHD
Authorized Official - Phone:561-444-8040
Mailing Address - Street 1:11380 PROSPERITY FARMS RD
Mailing Address - Street 2:STE 209A
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-3474
Mailing Address - Country:US
Mailing Address - Phone:561-444-8040
Mailing Address - Fax:561-444-8540
Practice Address - Street 1:11380 PROSPERITY FARMS RD
Practice Address - Street 2:STE 209A
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-3474
Practice Address - Country:US
Practice Address - Phone:561-444-8040
Practice Address - Fax:561-444-8540
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-07
Last Update Date:2016-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)