Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Collaborative Psych & Med

Organization Adult Development & Aging Psychologist · NPI 1972088912

Collaborative Psych & Med is an Adult Development & Aging Psychologist in Lakeland, Florida. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
3

Practice location Address checks out

4406 S Florida Ave Ste 31
Lakeland, FL 33813-2176
Phone: (855) 732-5292
Fax: (863) 583-9926
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Psychiatry Physician (primary) Taxonomy 2084P0805X
Adult Development & Aging Psychologist Taxonomy 103TA0700X
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1972088912
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelly Wood — Administrator · (855) 732-5292
NPI enumeratedSeptember 26, 2018
Last updated in NPPESSeptember 26, 2018
Mailing address4406 S Florida Ave Ste 31, Lakeland, FL 33813-2176