Individual provider Active NPI

Carlos F Pozzi, PSYD

  • Clinical Psychologist
  • Clermont, FL
National Provider Identifier
1174599757
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY 8900 Issued in FL
Practice address
297 E Highway 50 Ste 1
Clermont, FL 34711-2500
Phone
(407) 205-5589
NPI assigned
Feb 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X FL
Clinical Psychologist 103TC0700X PY 8900 FL Primary

Addresses

Primary practice location

297 E Highway 50 Ste 1
Clermont, FL 34711-2500

Mailing address

297 E Highway 50 Ste 1
Clermont, FL 34711-2500
Phone (407) 205-5589

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
I20161220002199 FL Practitioner - Clinical Psychologist 0143296855 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PY 8900FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
MCR Health, Inc. CurrentSince Mar 13, 2020 Accepting new patients
Sunrise Counseling Services, PLLC CurrentSince May 22, 2022 Accepting new patients
MCR Health, Inc. CurrentSince Mar 13, 2020 Accepting new patients
Chicago Christian Counseling Center Inc Clinical PastSince Feb 1, 2010 Accepting new patients
Sunrise Psychological Services LLC Clinical Past Accepting new patients

Locations

725 N 12th Ave
Bldg B
Arcadia, FL 34266
Phone (863) 494-1242

725 N 12th Ave
#B
Arcadia, FL 34266
Phone (863) 494-1242

297 E Highway 50
Ste 1
Clermont, FL 34711
Phone (352) 404-6589

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

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1174599757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "297 E HIGHWAY 50 STE 1",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347112500",
            "telephone_number": "407-205-5589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "297 E HIGHWAY 50 STE 1",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347112500",
            "telephone_number": "407-205-5589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POZZI",
        "first_name": "CARLOS",
        "middle_name": "F",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-24",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY 8900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

Verify at the official NPI Registry.