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WILHELMINA S. KOEDAM PHD P.A.
NPI 1851698328
Psychologist - Clinical in Hallandale Beach, FL

Active since February 18, 2011
134 S DIXIE HWY STE 104, HALLANDALE BEACH, FL 33009(954) 895-4248(954) 921-5200 Get Directions Write a Review

NPPES record last updated: March 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wilhelmina S. Koedam Phd P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILHELMINA S. KOEDAM PHD P.A. (NPI 1851698328) is a healthcare organization registered as a clinical in Hallandale Beach, Florida and active in the NPI registry since February 2011. The organization lists Wilhelmina S. Koedam, President/licensed Psychologist, as its authorized official.

NPPES Registry Identity

NPI1851698328
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameWILHELMINA S. KOEDAM PHD P.A.
Location Address134 S DIXIE HWY STE 104Hallandale Beach, FL 33009-5423
Mailing Address2999 N.e. 191 St., Suite 701Aventura, FL 33180 · (305) 653-0098 · Fax (305) 937-2541
Phone(954) 895-4248
Fax(954) 921-5200
Organization SubpartNo
Authorized OfficialWilhelmina S. KoedamPresident/licensed Psychologist · (954) 895-4248
Enumeration DateFebruary 18, 2011
Last NPPES UpdateMarch 18, 2024
NPPES CertifiedMarch 18, 2024
✔ NPI 1851698328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in FL · PY0003507
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
134 S DIXIE HWY STE 104, Hallandale Beach, FL 33009
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. WILHELMINA SINY KOEDAM PH.D.
Psychologist (Clinical)
134 S DIXIE HWY STE 104
HALLANDALE BEACH, FL 33009
Broward County (954) 895-4248
DR. STEPHEN WAYNE KONCSOL PH.D.
Psychologist
134 S DIXIE HWY STE 104
HALLANDALE BEACH, FL 33009
Broward County (305) 653-0098

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wilhelmina S. Koedam Phd P.A.'s NPI number?

The NPI number for Wilhelmina S. Koedam Phd P.A. is 1851698328. It was assigned to this organization in the NPPES registry on February 18, 2011.

Where is Wilhelmina S. Koedam Phd P.A. located?

Wilhelmina S. Koedam Phd P.A. is located at 134 S Dixie Hwy Ste 104, Hallandale Beach, FL 33009. The listed phone number is (954) 895-4248.

What is Wilhelmina S. Koedam Phd P.A.'s specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Wilhelmina S. Koedam Phd P.A. was last updated on March 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.