NPIMap

Organization Active NPI

Central Florida Psychological Consultants Inc

  • Clinical Psychologist
  • Leesburg, FL
National Provider Identifier
1053339986
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY6174 Issued in FL
Legal business name
CENTRAL FLORIDA PSYCHOLOGICAL CONSULTANTS INC
Practice address
1114 W Dixie Ave
Leesburg, FL 34748-6312
Phone
(352) 365-2243
Fax
(352) 365-2285
NPI assigned
Jul 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
William Steven Saunders, PSYNPI 1194705798
Title
President
Phone
(352) 365-2243

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
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PY6174 FL Primary

Addresses

Primary practice location

1114 W Dixie Ave
Leesburg, FL 34748-6312

Mailing address

PO Box 490134
Leesburg, FL 34749-0134
Phone (352) 365-2243

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061201000513 FL Part B Supplier - Clinic/Group Practice 2668470543 Receives reassigned benefits from 5 practitioners
Practice locations: Altoona, FL; Clermont, FL; Mount Dora, FL

National Provider Directory

National Provider Directory

Locations

1104 N Main St
Bushnell, FL 33513
Phone (352) 568-8777

2901 State Road 50
Clermont, FL 34711
Phone (689) 946-1000

605 W Montrose St
Clermont, FL 34711
Phone (352) 365-2243

255 Waterman Ave
Mount Dora, FL 32757
Phone (352) 383-0051

Practitioners & affiliated clinicians

Practitioners 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053339986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 490134",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347490134",
            "telephone_number": "352-365-2243",
            "fax_number": "352-365-2285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 W DIXIE AVE",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347486312",
            "telephone_number": "352-365-2243",
            "fax_number": "352-365-2285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL FLORIDA PSYCHOLOGICAL CONSULTANTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAUNDERS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-365-2243",
        "authorized_official_credential": "PSY"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY6174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.