COLLABORATIVE PSYCH & MED
NPI 1972088912
Psychiatry & Neurology - Geriatric Psychiatry in Lakeland, FL

Q: What is Collaborative Psych & Med's NPI number?

The NPI number for Collaborative Psych & Med is 1972088912. It was assigned to this organization in the NPPES registry on September 26, 2018.

Q: What is Collaborative Psych & Med's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Geriatric Psychiatry, with taxonomy code 2084P0805X.

Active since September 26, 2018

4406 S FLORIDA AVE STE 31, LAKELAND, FL 33813(855) 732-5292(863) 583-9926 Get Directions Write a Review

NPPES record last updated: September 26, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Collaborative Psych & Med NPPES

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

COLLABORATIVE PSYCH & MED (NPI 1972088912) is a healthcare organization registered as a geriatric psychiatry in Lakeland, Florida and active in the NPI registry since September 2018. The organization lists Kelly Wood, Administrator, as its authorized official.

NPPES Registry Identity

NPI1972088912

Entity TypeOrganization

Primary Taxonomy2084P0805X

Legal Business NameCOLLABORATIVE PSYCH & MED

Location Address4406 S FLORIDA AVE STE 31Lakeland, FL 33813-2176

Mailing Address4406 S Florida Ave Ste 31Lakeland, FL 33813-2176 · (855) 732-5292 · Fax (863) 583-9926

Phone(855) 732-5292

Fax(863) 583-9926

Organization SubpartNo

Authorized OfficialKelly WoodAdministrator · (855) 732-5292

Enumeration DateSeptember 26, 2018

✔ NPI 1972088912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · Geriatric PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0805X

Definition

Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients.

Also ListedPsychologist · Adult Development & AgingTaxonomy 103TA0700X

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

4406 S FLORIDA AVE STE 31, Lakeland, FL 33813

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Collaborative Psych & Med's NPI number?

The NPI number for Collaborative Psych & Med is 1972088912. It was assigned to this organization in the NPPES registry on September 26, 2018.

Where is Collaborative Psych & Med located?

Collaborative Psych & Med is located at 4406 S Florida Ave Ste 31, Lakeland, FL 33813. The listed phone number is (855) 732-5292.

What is Collaborative Psych & Med's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Geriatric Psychiatry, with taxonomy code 2084P0805X.

When was this NPI record last updated?

The NPPES record for Collaborative Psych & Med was last updated on September 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.