Ann L. Riebe, Psy.D., P.a.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY4564 Issued in FL

Legal business name

ANN L. RIEBE, PSY.D., P.A.

Practice address

600 E Strawbridge Ave
Melbourne, FL 32901-4796

Phone

(321) 956-1515

Fax

(321) 956-2336

NPI assigned

Dec 10, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Ann Lynn Riebe, PSY.D.

Title

President

Phone

(321) 956-1515

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1291939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291939200000",
    "number": "1013210293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E STRAWBRIDGE AVE",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329014796",
            "telephone_number": "321-956-1515",
            "fax_number": "321-956-2336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E STRAWBRIDGE AVE",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329014796",
            "telephone_number": "321-956-1515",
            "fax_number": "321-956-2336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANN L. RIEBE, PSY.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-10",
        "last_updated": "2010-12-10",
        "status": "A",
        "authorized_official_last_name": "RIEBE",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-956-1515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY4564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.