Active NPI
Cheryl Jane Kasprzak, PSY.D.
- Clinical Psychologist
- Naples, FL
National Provider Identifier
1134100381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY6194
- Practice address
- 3227 Horseshoe Dr S
Suite 101
Naples, FL 34104-6114 - Phone
- (239) 262-4543
- Fax
- (239) 949-9555
- NPI assigned
- Nov 7, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PY6104 | FL | |
| Cognitive & Behavioral Psychologist | 103TB0200X | PY6194 | FL | |
| Clinical Psychologist | 103TC0700X | PY6194 | FL | Primary |
| Clinical Child & Adolescent Psychologist | 103TC2200X | PY6194 | FL | |
| Psychologist | 103T00000X | PY6194 | FL |
Addresses
Primary practice location
3227 Horseshoe Dr S
Suite 101
Naples, FL 34104-6114
Mailing address
PO Box 990461
Naples, FL 34116-6065
Phone (239) 262-4543
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY6104 | FL | MD | Psychologist |
| PY6194 | FL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Behavioral Healthcare PA | Psychologist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychologist
- Naples, FL
- NPI 1821129297
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354233600000",
"number": "1134100381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 990461",
"city": "NAPLES",
"state": "FL",
"postal_code": "341166065",
"telephone_number": "239-262-4543",
"fax_number": "239-949-9555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3227 HORSESHOE DR S",
"address_2": "SUITE 101",
"city": "NAPLES",
"state": "FL",
"postal_code": "341046114",
"telephone_number": "239-262-4543",
"fax_number": "239-949-9555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KASPRZAK",
"first_name": "CHERYL",
"middle_name": "JANE",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-07",
"last_updated": "2012-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "FL",
"license": "PY6104",
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "FL",
"license": "PY6194",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY6194",
"primary": true
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "FL",
"license": "PY6194",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "FL",
"license": "PY6194",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.