Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Family and Forensic Psychology PA

Organization Clinical Psychologist · NPI 1629049390

Family and Forensic Psychology PA provides Clinical Psychologist services 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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