Active NPI
Liz Maren Ortiz, ED.S.
- Psychologist
- Saint Cloud, FL
National Provider Identifier
1104549252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 555875
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| LMO01129873 | AL | MD | Psychologist |
| 555875 | OR | MD | Psychologist |
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.