Roya Ghadimi, M.D., P.a.

Primary specialty

Prescribing (Medical) PsychologistTaxonomy code 103TP0016X

License

ME107176 Issued in FL

Legal business name

ROYA GHADIMI, M.D., P.A.

Practice address

1415 Panther LN
Suite 322
Naples, FL 34109-7874

Phone

(239) 593-6120

NPI assigned

Aug 22, 2011

Last updated

Dec 20, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Roya Ghadimi, MD

Title

Owner

Phone

(239) 593-6120

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1313971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324339200000",
    "number": "1205116399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 PANTHER LN",
            "address_2": "SUITE 322",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341097874",
            "telephone_number": "239-593-6120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 PANTHER LN",
            "address_2": "SUITE 322",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341097874",
            "telephone_number": "239-593-6120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYA GHADIMI, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-22",
        "last_updated": "2011-12-20",
        "status": "A",
        "authorized_official_last_name": "GHADIMI",
        "authorized_official_first_name": "ROYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-593-6120",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103TP0016X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "FL",
            "license": "ME107176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sylvia Rouse Horgan
• Christin Rowland, CRNA
• Virgina Tompkins Rowledge, BCHIS HEARING INSTRU
• Bruce Glenn Roy, MD
• Judith Anne Roy, CRNA
• Royal Healthcare of Southwest Florida LLC
• Royal Palm Physician Group, PA
• Royal Therapy Center Inc
• April Lynne Royan, M.A. CCC-A
• Ashlyn Rozelle

• Prescribing (Medical) Psychologist in Naples, FL
• Providers in Naples, FL by specialty
• Prescribing (Medical) Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; 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.