Individual provider Active NPI

Liz Maren Ortiz, ED.S.

  • Psychologist
  • Saint Cloud, FL
National Provider Identifier
1104549252
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
555875 Issued in OR
Practice address
1525 Oregon Ave
Saint Cloud, FL 34769-4674
Phone
(407) 202-9491
NPI assigned
Sep 23, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X LMO01129873 AL
Psychologist 103T00000X 555875 OR Primary

Addresses

Primary practice location

1525 Oregon Ave
Saint Cloud, FL 34769-4674

Mailing address

1525 Oregon Ave
Saint Cloud, FL 34769-4674
Phone (407) 202-9491

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://room.presencelearning.com/liz.ortiz Direct PresenceLearning, Inc.

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

State licenses

LicenseStateTypeSpecialty
LMO01129873ALMDPsychologist
555875ORMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1663891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1104549252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 OREGON AVE",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347694674",
            "telephone_number": "407-202-9491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 OREGON AVE",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347694674",
            "telephone_number": "407-202-9491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "LIZ",
        "middle_name": "MAREN",
        "credential": "ED.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-23",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AL",
            "license": "LMO01129873",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OR",
            "license": "555875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://room.presencelearning.com/liz.ortiz",
            "affiliation": "Y",
            "endpointDescription": "Therapy link",
            "affiliationName": "PresenceLearning, Inc.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "580 Market St",
            "address_2": "6th Floor",
            "city": "San Francisco",
            "state": "CA",
            "country_code": "US",
            "postal_code": "941045403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Cloud, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.