Organization Active NPI

E-Psychotherapy Associates Inc

  • Clinical Social Worker
  • Oviedo, FL
National Provider Identifier
1215185939
Registry record updated Sep 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSWSW7915 Issued in FL
Legal business name
E-PSYCHOTHERAPY ASSOCIATES INC
Practice address
1939 Summer Club Dr
Suite 111
Oviedo, FL 32765-7121
Phone
(407) 977-1435
NPI assigned
Sep 6, 2008
Last updated
Sep 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2008

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

Authorized official

Name
Robert W Stewart, LCSW
Title
President
Phone
(407) 977-1435

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSWSW7915 FL Primary

Addresses

Primary practice location

1939 Summer Club Dr
Suite 111
Oviedo, FL 32765-7121

Mailing address

1939 Summer Club Dr
Suite 111
Oviedo, FL 32765-7121
Phone (407) 977-1435

Other identifiers 1

IdentifierTypeStateIssuer
767097400MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
E-Psychotherapy Associates Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1220659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220659200000",
    "number": "1215185939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1939 SUMMER CLUB DR",
            "address_2": "SUITE 111",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327657121",
            "telephone_number": "407-977-1435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1939 SUMMER CLUB DR",
            "address_2": "SUITE 111",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327657121",
            "telephone_number": "407-977-1435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E-PSYCHOTHERAPY ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-06",
        "last_updated": "2008-09-06",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-977-1435",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "LCSWSW7915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "767097400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oviedo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.