DR. PAULA DEFOREST (NPI# 1306081179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306081179 |
| Entity Type | Individual |
| Full Name | DR. PAULA DEFOREST |
| Credential | PHD |
| Practice Address |
2020 Commerce Dr West Melbourne FL 32904-2335 |
| Mailing Address |
2290 Rockledge Dr Rockledge FL 32955-5404 |
| Practice Telephone | 3219526000 |
| Mailing Telephone | 3213055068 |
| Enumeration Date | 2008-12-09 |
| Last Update Date | 2009-09-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
PY0004766 | FL | Behavioral Health & Social Service Providers |
| Street Address |
2020 COMMERCE DR |
| City | WEST MELBOURNE |
| State | FL |
| Zip Code | 32904-2335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992702260 | Todd Jacob Gates | Psychiatry & Neurology | 2020 Commerce Dr, West Melbourne, FL 32904-2335 | 2005-07-01 |
| 1346780335 | Amanda Herndon | Counselor | 2020 Commerce Dr, West Melbourne, FL 32904-2335 | 2017-02-24 |
| 1043769128 | Laura Vaughn | Psychologist | 2020 Commerce Dr, West Melbourne, FL 32904-2335 | 2016-09-29 |
| 1033579040 | Jeremy Weiss | Counselor | 2020 Commerce Dr, West Melbourne, FL 32904-2335 | 2016-03-03 |
| 1942641519 | David Figueroa | Counselor | 2020 Commerce Dr, West Melbourne, FL 32904-2335 | 2013-07-11 |
| 1962639674 | Liina Hanson | Psychiatry & Neurology | 2020 Commerce Dr, West Melbourne, FL 32904-2335 | 2009-06-20 |
| 1629220413 | Georgia Shifflette | Nurse Practitioner | 2020 Commerce Dr, West Melbourne, FL 32904-2335 | 2008-10-13 |
| 1649432527 | Kerri Clark | Pharmacy Technician | 2020 Commerce Dr, West Melbourne, FL 32904-2335 | 2008-07-01 |
| 1740453380 | Lindsay Logan | Social Worker | 2020 Commerce Dr, West Melbourne, FL 32904-2335 | 2008-04-03 |
| 1639393259 | Rehan Ahmad Farooqui | Psychiatry & Neurology | 2020 Commerce Dr, West Melbourne, FL 32904 | 2007-04-13 |
| Find all providers in the same location | ||||
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|---|---|---|---|---|
| 1063066512 | Shepherd's Heart Ministries | Counselor | 900 S Wickham Rd, Melbourne, FL 32904 | 2019-08-01 |
| 1588138663 | Nicholle C Rothengass | Physician Assistant | 2263 W New Haven Ave # 350, W Melbourne, FL 32904 | 2019-01-11 |
| 1114407020 | Natalie Havkin | Speech-Language Pathologist | 250 S Wickham Rd., Melbourne, FL 32904 | 2018-08-20 |
| 1184119299 | Marni B Simon | Speech-Language Pathologist | 565 Acacia Ave, Melbourne Village, FL 32904 | 2018-06-30 |
| 1821588625 | Walden Psychological Services, LLC | Psychologist | 3400 Willowwood Dr, Melbourne, FL 32904 | 2018-05-16 |
| 1598276271 | Donetta Gwin Reynolds | Early Intervention Provider Agency | 764 Triples Crown Lane, West Melbourne, FL 32904 | 2017-10-20 |
| 1598205221 | Marathon Health, LLC | General Practice | 2550 Wingate Boulevard, C/o Brevard Wellcare- South, West Melbourne, FL 32904 | 2017-02-28 |
| 1366875387 | Cancer Center of Melbourne LLC | Clinic/Center | 415 S. Wickham Rd., Melbourne, FL 32904 | 2013-08-13 |
| 1558704312 | Sandra Suzanne Borthwick | Social Worker | 569 Sylvia Rd, Melbourne, FL 32904 | 2013-04-11 |
| 1396983607 | Genesis | Skilled Nursing Facility | 2653 Reflections Pl, W. Melbourne, FL 32904 | 2009-01-23 |
| Find all providers in zip 32904 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
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| Find all providers with the same taxonomy | ||||
| City | WEST MELBOURNE |
| Zip Code | 32904 |
Please comment or provide details below to improve the information on DR. PAULA DEFOREST.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.