Timothy C. Short, Psy. D
LBN: Brevard Psychological Associates, Inc
Timothy C. Short, Psy. D is an health care organization with primary practice located at 1611 S Apollo Blvd , Melbourne FL 32901-4407. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as the primary health care specialty.
Brevard Psychological Associates, Inc can be contacted via phone (321) 724-2444, or through Short, Psy. D, Timothy C via phone (321) 724-2444.
Contact Information
Primary practice address
1611 S Apollo Blvd
Melbourne FL 32901-4407
Phone: (321) 724-2444
Fax: (321) 952-4131
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | PY4790 | Florida |
Profile Details
| NPI number | 1518351824 |
|---|---|
| LBN Legal business name | Brevard Psychological Associates, Inc |
| DBA Doing business as | Timothy C. Short, Psy. D |
| Authorized official | Short, Psy. D, Timothy C PSYCHOLOGIST |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 25th, 2015 |
| Last updated | Mar 25th, 2015 - about 9 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518351824 | NPPES |
| Florida | Other | 611051700 | WORKERS COMPENSATION |
| Florida | Other | 59348 | WORKERS COMPENSATION |
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