Active NPI
Ann June Adams, PSY.D.
- Clinical Psychologist
- Saint Cloud, FL
National Provider Identifier
1093841884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY0004106
- 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, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PY0004106 | FL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychiatric Group of Orlando PA | Current | Accepting new patients | |
| Turning Point Counseling and Consulting, Inc | Past | 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.
-
- Psychiatry Physician
- Orlando, FL
- NPI 1134130768
-
- Addiction (Substance Use Disorder) Counselor
- Saint Cloud, FL
- NPI 1114147501
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
- Luz M Acobe, SW
- Yorliet Acosta Sofia
- Angelica Acosta Tamayo
- Delkys Acosta
- Alondra Adames Morales
- Adl Care Clinic LLC
- Advance Home Care LLC
- Advantage Medical Equipment and Supplies, Inc.
- Adventist Health System/Sunbelt, Inc. (AdventHealth Centra Care - St. Cloud)
- Adventist Health System/Sunbelt, Inc. (AdventHealth Total Health Management Primary Care Plus - St. Cloud)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.