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

Family and Forensic Psychology PA

Organization Clinical Psychologist · NPI 1629049390

Family and Forensic Psychology PA is a Clinical Psychologist in Cooper City, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10000 Stirling Rd Ste 6
Cooper City, FL 33024
Phone: (954) 436-8326
Fax: (954) 433-0603
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Forensic Psychologist (primary) Taxonomy 103TF0200X · Licence PY0004966 (FL)
Clinical Psychologist Taxonomy 103TC0700X · Licence PY0004966 (FL)

Record details

NPI number1629049390
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Winick — President · (954) 436-8326
NPI enumeratedJanuary 30, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address10000 Stirling Rd, Ste 6, Cooper City, FL 33024

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