Organization Active NPI

Poetter & Poetter, P.a.

  • Clinical Psychologist
  • Ocala, FL
National Provider Identifier
1174637268
Registry record updated Nov 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY3308 Issued in FL
Legal business name
POETTER & POETTER, P.A.
Practice address
3002 SE 1St Ave
#200
Ocala, FL 34471-0477
Phone
(352) 351-5522
Fax
(352) 351-2950
NPI assigned
Aug 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2010

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

Authorized official

Name
Dr. Violet D Poetter, PSY.D.NPI 1366542920
Title
President
Phone
(352) 351-5522

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC0700X PY3308 FL Primary
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC0700X PY2970 FL

Addresses

Primary practice location

3002 SE 1St Ave
#200
Ocala, FL 34471-0477

Mailing address

3002 SE 1St Ave
#200
Ocala, FL 34471-0477
Phone (352) 351-5522

Other identifiers 2

IdentifierTypeStateIssuer
1174637268OtherNPI GROUP
21827OtherFLBCBS GROUP NUMBER

National Provider Directory

National Provider Directory

Locations

3002 SE 1st Ave
Ste 200
Ocala, FL 34471
Phone (352) 216-6836

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290038400000",
    "number": "1174637268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3002 SE 1ST AVE",
            "address_2": "#200",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344710477",
            "telephone_number": "352-351-5522",
            "fax_number": "352-351-2950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3002 SE 1ST AVE",
            "address_2": "#200",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344710477",
            "telephone_number": "352-351-5522",
            "fax_number": "352-351-2950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POETTER & POETTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2010-11-18",
        "status": "A",
        "authorized_official_last_name": "POETTER",
        "authorized_official_first_name": "VIOLET",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-351-5522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY3308",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY2970",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI GROUP",
            "identifier": "1174637268",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "21827",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2010; 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.