Atlantic Neuropsychology

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Legal business name

ATLANTIC NEUROPSYCHOLOGY

Practice address

930 S Harbor City Blvd Ste 402
Melbourne, FL 32901-1967

Phone

(321) 379-3799

Fax

(321) 379-3790

NPI assigned

Jul 27, 2023

Last updated

Jul 27, 2023By 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

Dr. Julie L Delettre, PSY.D.NPI 1588913735

Title

Owner/Operator Neuropsychologist

Phone

(321) 379-3799

Specialties & licenses 1

Addresses

Other names 1

• Julie L. DeLettre, Psy.D. Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Julie L Delettre, PSY.D.

  • Psychologist
  • Melbourne, FL
  • NPI 1588913735
  NPD Authorized official

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

{
    "created_epoch": "1690416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690416000000",
    "number": "1275214868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2984 TUSCARORA CT",
            "address_2": "C/O JULIE L. DELETTRE, PSY.D.",
            "city": "WEST MELBOURNE",
            "state": "FL",
            "postal_code": "329048098",
            "telephone_number": "321-379-3799",
            "fax_number": "321-379-3790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 S HARBOR CITY BLVD STE 402",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329011967",
            "telephone_number": "321-379-3799",
            "fax_number": "321-379-3790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC NEUROPSYCHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-27",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A",
        "authorized_official_last_name": "DELETTRE",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/OPERATOR NEUROPSYCHOLOGIST",
        "authorized_official_telephone_number": "321-379-3799",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Julie L. DeLettre, Psy.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Clinical Neuropsychologist in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Clinical Neuropsychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; 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.