Provider Demographics
NPI:1720295728
Name:PSYCHOLOGICAL HEALTH SERVICES INC
Entity Type:Organization
Organization Name:PSYCHOLOGICAL HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHULMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:561-622-7722
Mailing Address - Street 1:5510 PGA BLVD
Mailing Address - Street 2:SUITE 213
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33418-3980
Mailing Address - Country:US
Mailing Address - Phone:561-622-7722
Mailing Address - Fax:561-627-5577
Practice Address - Street 1:5510 PGA BLVD
Practice Address - Street 2:SUITE 213
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33418-3980
Practice Address - Country:US
Practice Address - Phone:561-622-7722
Practice Address - Fax:561-627-5577
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-17
Last Update Date:2013-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLFW111AMedicare UPIN