Active NPI
Hanna Kallstrom
- School Psychologist
- Naples, FL
National Provider Identifier
1194448332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- SS1629
- Practice address
- 14803 Sutherland Ave
Naples, FL 34119-4131 - Phone
- (239) 784-3558
- NPI assigned
- Sep 22, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | SS1629 | FL | Primary |
Addresses
Primary practice location
14803 Sutherland Ave
Naples, FL 34119-4131
Mailing address
14803 Sutherland Ave
Naples, FL 34119-4131
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
| License | State | Type | Specialty |
|---|---|---|---|
| SS1629 | FL | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bright Future Psychology PLLC | School | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- School Psychologist
- Naples, FL
- NPI 1164227047
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663804800000",
"number": "1194448332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14803 SUTHERLAND AVE",
"city": "NAPLES",
"state": "FL",
"postal_code": "341194131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14803 SUTHERLAND AVE",
"city": "NAPLES",
"state": "FL",
"postal_code": "341194131",
"telephone_number": "239-784-3558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALLSTROM",
"first_name": "HANNA",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-22",
"last_updated": "2022-09-22",
"certification_date": "2022-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "FL",
"license": "SS1629",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.