Active NPI
Stipkovits Consulting, LLC
- Behavioral Neurology & Neuropsychiatry Physician
- Lakeland, FL
National Provider Identifier
1164995239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavioral Neurology & Neuropsychiatry Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavioral Neurology & Neuropsychiatry Physician | 2084B0040X | Primary | ||
| Psychiatry Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002452200 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
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.