Active NPI
Penelope L Norton, PH.D.
- Clinical Psychologist
- Ormond Beach, FL
National Provider Identifier
1275740227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY3198
- Practice address
- 555 W Granada Blvd
Ste. E3
Ormond Beach, FL 32174-9485 - Phone
- (386) 676-5420
- NPI assigned
- May 17, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY3198 | FL | Primary |
| Clinical Child & Adolescent Psychologist | 103TC2200X | PY3198 | FL | |
| Group Psychotherapy Psychologist | 103TP2701X | PY3198 | FL | |
| Marriage & Family Therapist | 106H00000X | PY3198 | FL |
Addresses
Primary practice location
555 W Granada Blvd
Ste. E3
Ormond Beach, FL 32174-9485
Mailing address
555 W Granada Blvd
Ste. E3
Ormond Beach, FL 32174-9485
Phone (386) 676-5420
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110111000017 | FL | Practitioner - Clinical Psychologist | 7416146246 | Practice locations: Ormond Beach, FL |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
555 W Granada Blvd
Ormond Beach, FL 32174-9485
Phone (386) 676-5420
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY3198 | FL | MD | Group Psychotherapy Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Penelope L. Norton, PHD | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Psychologist
- Ormond Beach, FL
- NPI 1952764060
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459814400000",
"number": "1275740227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 W GRANADA BLVD",
"address_2": "STE. E3",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321749485",
"telephone_number": "386-676-5420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 W GRANADA BLVD",
"address_2": "STE. E3",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321749485",
"telephone_number": "386-676-5420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORTON",
"first_name": "PENELOPE",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-17",
"last_updated": "2016-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY3198",
"primary": true
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "FL",
"license": "PY3198",
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "FL",
"license": "PY3198",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "FL",
"license": "PY3198",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ormond Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.