Melissa Fogle, PSY.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PY7553 Issued in FL

Practice address

2737 W Fairbanks Ave
Winter Park, FL 32789-3314

Phone

(407) 740-6838

Fax

(407) 740-0902

NPI assigned

Jan 2, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Psychological Affiliates Inc

  • Clinical Psychologist
  • Winter Park, FL
  • NPI 1699815753
  NPD (past)
• Psychological Affiliates, Inc.

  • Clinical Child & Adolescent Psychologist
  • Winter Park, FL
  • NPI 1649324005
  NPD (past)

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199232000000",
    "number": "1063697779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2737 W FAIRBANKS AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327893314",
            "telephone_number": "407-740-6838",
            "fax_number": "407-740-0902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2737 W FAIRBANKS AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327893314",
            "telephone_number": "407-740-6838",
            "fax_number": "407-740-0902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOGLE",
        "first_name": "MELISSA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-02",
        "last_updated": "2008-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY7553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Florida Woman Care, LLC
• Brittany Flositz, LMHC
• Flourish Counseling, LLC
• Michele Anne Fluke, LMHC #19446
• Patricia Flynn, MA
• Julie Ann Foley, PTA
• Karissa Marie Foley, OTR/L
• Mayra Fondeur
• Gabriella Rose Fonseca, DO
• Emily Beth Foote, MSW LCSW

• Clinical Neuropsychologist in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Clinical Neuropsychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2008; 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.