Healthcare Provider Details

I. General information

NPI: 1952463168
Provider Name (Legal Business Name): PSYCHOTHERAPY ASSOCIATES OF SOUTH FLORIDA, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/14/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

849 SE 8TH AVE #2
DEERFIELD BEACH FL
33441-5615
US

IV. Provider business mailing address

5425 10TH FAIRWAY DR #3
DELRAY BEACH FL
33484-7827
US

V. Phone/Fax

Practice location:
  • Phone: 561-929-2343
  • Fax: 561-431-2378
Mailing address:
  • Phone: 561-638-9391
  • Fax: 561-431-2378

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number2004
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH-5461
License Number StateFL

VIII. Authorized Official

Name: CHRISTINE KADIN
Title or Position: PRINCIPAL
Credential: L.M.H.C., C.A.P.
Phone: 561-638-9391