Jo Ann Agress, PHD, PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY6587 Issued in FL

Legal business name

JO ANN AGRESS, PHD, PLLC

Practice address

2740 Oak Ridge CT Ste 304
Fort Myers, FL 33901-9371

Phone

(239) 776-1855

Fax

(239) 567-5620

NPI assigned

Feb 1, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Jo Ann Agress, PHD

Title

Owner

Phone

(239) 776-1855

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1485907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525305600000",
    "number": "1114465960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20410 TALON TRCE",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339283028",
            "telephone_number": "239-948-2116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 OAK RIDGE CT STE 304",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019371",
            "telephone_number": "239-776-1855",
            "fax_number": "239-567-5620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JO ANN AGRESS, PHD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-01",
        "last_updated": "2018-05-03",
        "status": "A",
        "authorized_official_last_name": "AGRESS",
        "authorized_official_first_name": "JO ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-776-1855",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY6587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2018; 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.