Individual provider Active NPI

Ann June Adams, PSY.D.

  • Clinical Psychologist
  • Saint Cloud, FL
National Provider Identifier
1093841884
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY0004106 Issued in FL
Practice address
3112 17TH St
Saint Cloud, FL 34769-6021
Phone
(407) 957-4176
Fax
(407) 957-4359
NPI assigned
Feb 26, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY0004106 FL Primary

Addresses

Primary practice location

3112 17TH St
Saint Cloud, FL 34769-6021

Mailing address

12804 Ben Rogers CT
Orlando, FL 32828-9007
Phone (407) 823-7514

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20120626000676 FL Practitioner - Clinical Psychologist 3577728443 Reassigns benefits to 1 organization
Practice locations: St. Cloud, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychiatric Group of Orlando PAGroup PAC ID 9335124197, 4 clinicians

Practice addresses (Care Compare)

422 S Alafaya TRL
Suite 17
Orlando, FL 32828-8984
Phone (407) 275-0745

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PY0004106FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatric Group of Orlando PA CurrentSince Sep 15, 2015 Accepting new patients
Turning Point Counseling and Consulting, Inc PastSince Sep 8, 2024 Accepting new patients

Locations

422 S Alafaya Trl
Ste 17
Orlando, FL 32828
Phone (407) 275-0745

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093841884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12804 BEN ROGERS CT",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328289007",
            "telephone_number": "407-823-7514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3112 17TH ST",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347696021",
            "telephone_number": "407-957-4176",
            "fax_number": "407-957-4359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "ANN",
        "middle_name": "JUNE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY0004106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, FL

Sources for this page

Verify at the official NPI Registry.