Organization Active NPI

Leonard J. Skzynski, Psy.D.

  • Exclusive Provider Organization
  • Kissimmee, FL
National Provider Identifier
1043742034
Registry record updated Mar 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
PY3764 Issued in FL
Legal business name
LEONARD J. SKZYNSKI, PSY.D.
Practice address
21 S Randolph Ave
Kissimmee, FL 34741-5443
Phone
(321) 284-1840
Fax
(321) 284-1854
NPI assigned
Mar 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2017

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

Authorized official

Name
Dr. Leonard John Skizynski, PSY.D.NPI 1275684870
Title
Licensed Psychologist
Phone
(321) 284-1840

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X PY3764 FL Primary

Addresses

Primary practice location

21 S Randolph Ave
Kissimmee, FL 34741-5443

Mailing address

21 S Randolph Ave
Kissimmee, FL 34741-5443
Phone (321) 284-1840

Other identifiers 1

IdentifierTypeStateIssuer
1275684870OtherFLNPI

National Provider Directory

National Provider Directory

Locations

21 S Randolph Ave
Kissimmee, FL 34741
Phone (321) 284-1840

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1490832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490832000000",
    "number": "1043742034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 S RANDOLPH AVE",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347415443",
            "telephone_number": "321-284-1840",
            "fax_number": "321-284-1854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 S RANDOLPH AVE",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347415443",
            "telephone_number": "321-284-1840",
            "fax_number": "321-284-1854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEONARD J. SKZYNSKI, PSY.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-30",
        "last_updated": "2017-03-30",
        "status": "A",
        "authorized_official_last_name": "SKIZYNSKI",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "321-284-1840",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "FL",
            "license": "PY3764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1275684870",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; 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.