Individual provider Active NPI

Reeva Ramcharan, PSY.D

  • Clinical Psychologist
  • Winter Springs, FL
National Provider Identifier
1174914501
Registry record updated Jan 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY9149 Issued in FL
Practice address
5738 Canton CV Ste 110
Winter Springs, FL 32708-5037
Phone
(407) 233-5667
Fax
(407) 986-4533
NPI assigned
Feb 6, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY9149 FL Primary

Addresses

Primary practice location

5738 Canton CV Ste 110
Winter Springs, FL 32708-5037

Mailing address

5738 Canton CV Ste 110
Winter Springs, FL 32708-5037
Phone (407) 233-5667

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

State licenses

LicenseStateTypeSpecialty
PY9149FLMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1423180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547596800000",
    "number": "1174914501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5738 CANTON CV STE 110",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327085037",
            "telephone_number": "407-233-5667",
            "fax_number": "407-986-4533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5738 CANTON CV STE 110",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327085037",
            "telephone_number": "407-233-5667",
            "fax_number": "407-986-4533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMCHARAN",
        "first_name": "REEVA",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-06",
        "last_updated": "2019-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY9149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.