Active NPI
Fortney Therapeutics PLC
- Clinical Psychologist
- Melbourne, FL
National Provider Identifier
1063717908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY8142
- Legal business name
- FORTNEY THERAPEUTICS PLC
- Doing business as
- Dr. Tim Fortney
- Practice address
- 100 Rialto PL
Suite 754
Melbourne, FL 32901-3055 - Phone
- (321) 728-9620
- NPI assigned
- Jan 25, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Timothy Fortney, PSY.D.
- Title
- Psychologist
- Phone
- (239) 443-0498
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY8142 | FL | Primary |
Addresses
Primary practice location
100 Rialto PL
Suite 754
Melbourne, FL 32901-3055
Mailing address
2760 Gray Fox LN
Orlando, FL 32826-3693
Phone (239) 443-0498
Other names 1
- Dr. Tim Fortney
National Provider Directory
National Provider DirectoryLocations
100 Rialto Pl
Ste 754
Melbourne, FL 32901
Phone (321) 728-9620
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295913600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1296777600000",
"number": "1063717908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2760 GRAY FOX LN",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328263693",
"telephone_number": "239-443-0498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 RIALTO PL",
"address_2": "SUITE 754",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329013055",
"telephone_number": "321-728-9620"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FORTNEY THERAPEUTICS PLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-01-25",
"last_updated": "2011-02-04",
"status": "A",
"authorized_official_last_name": "FORTNEY",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_title_or_position": "PSYCHOLOGIST",
"authorized_official_telephone_number": "239-443-0498",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY8142",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Dr. Tim Fortney",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.