Rodney A Poetter, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY0002970 Issued in FL

Practice address

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

Phone

(352) 351-5522

Fax

(352) 351-2950

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Dr. Violet D Poetter Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290038400000",
    "number": "1194823153",
    "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": {
        "last_name": "POETTER",
        "first_name": "RODNEY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2010-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY0002970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI NUMBER",
            "identifier": "1174637268",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "21827",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIV",
            "identifier": "75184",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIV",
            "identifier": "1194823153",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIOLET",
            "last_name": "POETTER",
            "middle_name": "D",
            "prefix": "DR.",
            "credential": "PSY.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• John Andrew Podlaski, D.C., DACBN,DABCI
• Renu Indira Poduval, LMT
• Kristy Nicole Poe
• Poetter & Poetter, P.a.
• Eric Scott Poetter, DNP
• Violet D Poetter, PSY.D.
• Andrew D Pogiatzis, MD
• Karen Jean Pohl
• Kwanda Poitier
• Peter J. Polack, M.D.

• Clinical Psychologist in Ocala, FL
• Providers in Ocala, FL by specialty
• Clinical Psychologist in Florida

• 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.