Kelly Ann Ergle

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

SS860 Issued in FL

Practice address

101 E Maud St
Tavares, FL 32778-3249

Phone

(352) 253-9348

Fax

(352) 253-9351

NPI assigned

Jul 4, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Counseling & Development Center Inc

  • Counseling Psychologist
  • Tavares, FL
  • NPI 1851327514
  NPD (past)
• Neuropsychology & Counseling Services PA

  • Psychologist
  • Tavares, FL
  • NPI 1588860670
  NPD (past)

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235169467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E MAUD ST",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327783249",
            "telephone_number": "352-253-9348",
            "fax_number": "352-253-9351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E MAUD ST",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327783249",
            "telephone_number": "352-253-9348",
            "fax_number": "352-253-9351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERGLE",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "FL",
            "license": "SS860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Betty Emery, R.PH
• Jana Michelle England, MS
• Jazziona Engram
• Bibi Shereen Eoonous, D.O.
• Equipped Care LLC
• Lucy Ward Ertenberg, M.D.
• Jon Esparza, CRNA
• Nathalie Vanessa Espinal, CC
• Karen K Estill, PHD
• Tracey Lynne Estok, PT

• School Psychologist in Tavares, FL
• Providers in Tavares, FL by specialty
• School Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.