Magdalena Fudyma

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY11106 Issued in FL

Practice address

935 N Beneva Rd Ste 609-1045
Sarasota, FL 34232-1397

Phone

(941) 564-9478

NPI assigned

Dec 8, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Magdalena Boryczko Former name

Medicare fee-for-service enrollment

Enrolled in IL, FL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Heal & Grow Psychological Services

  • Psychologist
  • Sarasota, FL
  • NPI 1366106908
  Medicare reassignment NPD Authorized official
• Quality BHS Florida, LLC

  dba Quality Behavioral Health Services

  • Clinical Social Worker
  • Tampa, FL
  • NPI 1689297541
  Medicare reassignment NPD
• Progressive Psychological Healthcare, S.C.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Buffalo Grove, IL
  • NPI 1902287923
  Medicare reassignment NPD
• In Home Health, LLC

  dba ProMedica Hospice (Eau Claire)

  • Community Based Hospice Care Agency
  • Eau Claire, WI
  • NPI 1710692488
  NPD (past)
• Marianna Tsaran MD SC

  • Specialist
  • Arlington Heights, IL
  • NPI 1134283203
  NPD (past)
• Neurobehavioral Health Connections, LTD

  • Clinical Psychologist
  • Mundelein, IL
  • NPI 1164545836
  NPD (past)
• Robert M Pasen PHD PC

  dba Neurobehavioral Health Connections, Ltd

  • Clinical Psychologist
  • Mundelein, IL
  • NPI 1821030024
  NPD (past)

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

{
    "created_epoch": "1449532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1073988671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 N BENEVA RD STE 609-1045",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342321397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 N BENEVA RD STE 609-1045",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342321397",
            "telephone_number": "941-564-9478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUDYMA",
        "first_name": "MAGDALENA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-08",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY11106",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071.010416",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAGDALENA",
            "last_name": "BORYCZKO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Fruitville Holdings-Oppidan, Inc. (Oppidan)
• Gary Frumkin, M.D.
• Frye Physical Therapy,PLLC
• Jay Steven Frye, DPT
• Howard B Fuchs, MD
• Keefe Charles Fugleberg, PT
• Emily Fulda
• James Brandon Fuller, DAOM, AP
• Jane Lesley Fulton, PT
• Functional Transformation LLC

• Psychologist in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.