Active NPI
Jeffrey M Bates, PHD
- Psychologist
- Ocala, FL
National Provider Identifier
1093048506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY002844
- Practice address
- 19 Pecan Run Radl
Ocala, FL 34472-6027 - Phone
- (352) 687-3979
- Fax
- (352) 687-3979
- NPI assigned
- Sep 15, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY002844 | GA | Primary |
Addresses
Primary practice location
19 Pecan Run Radl
Ocala, FL 34472-6027
Mailing address
19 Pecan Run Radl
Ocala, FL 34472-6027
Phone (352) 687-3979
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY002844 | GA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252972800000",
"number": "1093048506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 PECAN RUN RADL",
"city": "OCALA",
"state": "FL",
"postal_code": "344726027",
"telephone_number": "352-687-3979",
"fax_number": "352-687-3979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 PECAN RUN RADL",
"city": "OCALA",
"state": "FL",
"postal_code": "344726027",
"telephone_number": "352-687-3979",
"fax_number": "352-687-3979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BATES",
"first_name": "JEFFREY",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-09-15",
"last_updated": "2009-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "GA",
"license": "PSY002844",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ocala, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.