=====================================================
General NPI Number Information
=====================================================
NPI Number | 1205162328
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | JOYCE HOPKINS PSYD LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/23/2009
-----------------------------------------------------
Last Update Date | 09/09/2014
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1230 S FEDERAL HWY
-----------------------------------------------------
City | BOYNTON BEACH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33435-6000
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 561-732-6901
-----------------------------------------------------
Fax | 561-732-2629
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2419 S SEACREST BLVD
-----------------------------------------------------
City | BOYNTON BEACH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33435-6701
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 561-732-6901
-----------------------------------------------------
Fax | 561-732-2629
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PSYCHOLOGIST
-----------------------------------------------------
Name | DR. JOYCE HOPKINS
-----------------------------------------------------
Credential | PSY.D.
-----------------------------------------------------
Telephone | 561-715-6174
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103T00000X
-----------------------------------------------------
Taxonomy Name | Psychologist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------