Emily C Ptaszek PSYD PA

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY 7057 Issued in FL

Legal business name

EMILY C PTASZEK PSYD PA

Practice address

5245 Ramsey Way
Suite 1
Fort Myers, FL 33907-2124

Phone

(407) 314-1650

NPI assigned

Aug 27, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Emily C Ptaszek, PSY.D.

Title

Director/Licensed Psychologist

Phone

(407) 314-1650

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1219795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228953600000",
    "number": "1184871568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 CALOOSA VISTA RD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339018805",
            "telephone_number": "239-362-2802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5245 RAMSEY WAY",
            "address_2": "SUITE 1",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339072124",
            "telephone_number": "407-314-1650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMILY C PTASZEK PSYD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-27",
        "last_updated": "2008-12-11",
        "status": "A",
        "authorized_official_last_name": "PTASZEK",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DIRECTOR/LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "407-314-1650",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY 7057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2008; 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.