NPIMap

Organization Active NPI

Laura Magness PSYD LLC

  • Psychologist
  • Merritt Island, FL
National Provider Identifier
1053663203
Registry record updated Oct 12, 2012
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Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY 8597 Issued in FL
Legal business name
LAURA MAGNESS PSYD LLC
Practice address
300 S Sykes Creek Pkwy
Unit 801
Merritt Island, FL 32952-3313
Phone
(608) 609-2584
NPI assigned
Oct 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2012

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

Authorized official

Name
Laura Magness
Title
MGRM
Phone
(608) 609-2584

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PY 8597 FL Primary

Addresses

Primary practice location

300 S Sykes Creek Pkwy
Unit 801
Merritt Island, FL 32952-3313

Mailing address

300 S Sykes Creek Pkwy
Unit 801
Merritt Island, FL 32952-3313

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1350000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350000000000",
    "number": "1053663203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S SYKES CREEK PKWY",
            "address_2": "UNIT 801",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329523313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S SYKES CREEK PKWY",
            "address_2": "UNIT 801",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329523313",
            "telephone_number": "608-609-2584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURA MAGNESS PSYD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-12",
        "last_updated": "2012-10-12",
        "status": "A",
        "authorized_official_last_name": "MAGNESS",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "MGRM",
        "authorized_official_telephone_number": "608-609-2584"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY 8597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merritt Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2012; 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.