Organization Active NPI

Stipkovits Consulting, LLC

  • Behavioral Neurology & Neuropsychiatry Physician
  • Lakeland, FL
National Provider Identifier
1164995239
Registry record updated Jan 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavioral Neurology & Neuropsychiatry PhysicianTaxonomy code 2084B0040X
Legal business name
STIPKOVITS CONSULTING, LLC
Practice address
2031 E Edgewood Dr Ste 4
Lakeland, FL 33803-3659
Phone
(863) 255-0297
Fax
(863) 279-0321
NPI assigned
Jan 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2019

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

Authorized official

Name
Ibolya Stipkovits, LCSW, MSW, TIP
Title
Managing Member
Phone
(863) 255-0297

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavioral Neurology & Neuropsychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084B0040X Primary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X

Addresses

Primary practice location

2031 E Edgewood Dr Ste 4
Lakeland, FL 33803-3659

Mailing address

PO Box 6255
Lakeland, FL 33807-6255
Phone (863) 213-9560

Other identifiers 1

IdentifierTypeStateIssuer
002452200MedicaidFL

National Provider Directory

National Provider Directory

Locations

2031 E Edgewood Dr
Ste 4
Lakeland, FL 33803
Phone (863) 213-9560

NPI Registry JSON

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

{
    "created_epoch": "1547078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547078400000",
    "number": "1164995239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6255",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338076255",
            "telephone_number": "863-213-9560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2031 E EDGEWOOD DR STE 4",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338033659",
            "telephone_number": "863-255-0297",
            "fax_number": "863-279-0321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STIPKOVITS CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-10",
        "last_updated": "2019-01-10",
        "status": "A",
        "authorized_official_last_name": "STIPKOVITS",
        "authorized_official_first_name": "IBOLYA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "863-255-0297",
        "authorized_official_credential": "LCSW, MSW, TIP"
    },
    "taxonomies": [
        {
            "code": "2084B0040X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002452200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2019; 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.