Individual provider Active NPI

Carmen A. Tozzo, PHD

  • Clinical Psychologist
  • Chiefland, FL
National Provider Identifier
1104915313
Registry record updated Dec 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY5911 Issued in FL
Practice address
1315 NW 21St Ave
Suite 2
Chiefland, FL 32626-1978
Phone
(352) 332-9441
Fax
(352) 331-0337
NPI assigned
Oct 12, 2006
Last updated
Dec 31, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2019

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 PY5911 FL Primary

Addresses

Primary practice location

1315 NW 21St Ave
Suite 2
Chiefland, FL 32626-1978

Mailing address

4881 NW 8TH Ave
Suite 2
Gainesville, FL 32605-4582
Phone (352) 416-1082

Other names 1

  • Carmen I Tozzo-Julian Former name

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
I20041118000172 FL Practitioner - Clinical Psychologist 5799749883 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Simedhealth LLCGroup PAC ID 6608137054, 89 clinicians

Practice addresses (Care Compare)

4343 W Newberry Rd
Gainesville, FL 32607-2817
Phone (352) 416-1082

630 N Main St
Williston, FL 32696-1705
Phone (352) 529-2570

Merit-based Incentive Payment System (MIPS)

Final score
83 of 100Reported as group
Quality
65.57
Promoting interoperability
99
Improvement activities
40
Cost
78.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
MCR Health, Inc. CurrentSince Oct 1, 2018 Accepting new patients
Simed Health LLC CurrentSince Jan 2, 2020 Accepting new patients
Simedhealth LLC CurrentSince Jan 2, 2020 Accepting new patients
Carmen I Tozzo PA Clinical CurrentSince Jul 21, 2012 Accepting new patients
MCR Health, Inc. CurrentSince Oct 1, 2018 Accepting new patients
Ernest J Bordini PHD & Assoc PA Clinical Past Accepting new patients

Locations

1315 NW 21st Ave
Ste 2
Chiefland, FL 32626
Phone (352) 490-5102

4343 Newberry Rd
Gainesville, FL 32607
Phone (352) 224-2200

4881 NW 8th Ave
Ste 2
Gainesville, FL 32605
Phone (352) 373-6338

12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231

630 N Main St
Williston, FL 32696
Phone (352) 528-0587

Networks

  • Freedom Health HMO Network

Organizations & group practices 6

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577750400000",
    "number": "1104915313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4881 NW 8TH AVE",
            "address_2": "SUITE 2",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054582",
            "telephone_number": "352-416-1082",
            "fax_number": "352-373-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 NW 21ST AVE",
            "address_2": "SUITE 2",
            "city": "CHIEFLAND",
            "state": "FL",
            "postal_code": "326261978",
            "telephone_number": "352-332-9441",
            "fax_number": "352-331-0337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOZZO",
        "first_name": "CARMEN",
        "middle_name": "A.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2019-12-31",
        "certification_date": "2019-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY5911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARMEN",
            "last_name": "TOZZO-JULIAN",
            "middle_name": "I",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chiefland, FL

Sources for this page

Verify at the official NPI Registry.