Individual provider Active NPI

Emily Luis Cimino, PH.D.

  • School Psychologist
  • Lutz, FL
National Provider Identifier
1265376495
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
SS969 Issued in FL
Practice address
19032 Chemille Dr
Lutz, FL 33558-2842
Phone
(813) 362-3970
Fax
(813) 362-3970
NPI assigned
Apr 17, 2026
Last updated
Apr 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X SS969 FL Primary

Addresses

Primary practice location

19032 Chemille Dr
Lutz, FL 33558-2842

Mailing address

19032 Chemille Dr
Lutz, FL 33558-2842
Phone (813) 362-3970

Other practice location 1

6924 W Linebaugh Ave
Tampa, FL 33625-5800
Phone (813) 962-6766

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
SS969FLMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1776384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1265376495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19032 CHEMILLE DR",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335582842",
            "telephone_number": "813-362-3970",
            "fax_number": "813-362-3970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19032 CHEMILLE DR",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335582842",
            "telephone_number": "813-362-3970",
            "fax_number": "813-362-3970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6924 W Linebaugh Ave",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336255800",
            "country_code": "US",
            "telephone_number": "813-962-6766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CIMINO",
        "first_name": "EMILY",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-04-17",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "FL",
            "license": "SS969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutz, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; 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.