Organization Active NPI

Actions 4 Life

  • Psychologist
  • The Villages, FL
National Provider Identifier
1053582080
Registry record updated Aug 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY 4421 Issued in FL
Legal business name
ACTIONS 4 LIFE
Practice address
2685 Formosa Ter
The Villages, FL 32162-2117
Phone
(941) 782-7195
Fax
(877) 307-6399
NPI assigned
Mar 18, 2008
Last updated
Aug 18, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2016

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

Authorized official

Name
Dr. Joanne Pitera Studer, PSYCHOLOGISTNPI 1912178930
Title
President
Phone
(941) 782-7195

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY 4421 FL Primary

Addresses

Primary practice location

2685 Formosa Ter
The Villages, FL 32162-2117

Mailing address

2685 Formosa Ter
The Villages, FL 32162-2117
Phone (941) 782-7195

National Provider Directory

National Provider Directory

Locations

1477 Huey St
Wildwood, FL 34785
Phone (352) 251-3902

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471478400000",
    "number": "1053582080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2685 FORMOSA TER",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321622117",
            "telephone_number": "941-782-7195",
            "fax_number": "877-307-6399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2685 FORMOSA TER",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321622117",
            "telephone_number": "941-782-7195",
            "fax_number": "877-307-6399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIONS 4 LIFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-18",
        "last_updated": "2016-08-18",
        "status": "A",
        "authorized_official_last_name": "PITERA STUDER",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-782-7195",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYCHOLOGIST"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY 4421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Villages, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; 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.