Cornelia Iucha, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810005492 Issued in VA

Practice address

2501 Raymond Street Orlando VA Medical Center
Lake Baldwin Opc Mental Health, Room 422
Orlando, FL 32803

Phone

(407) 646-5500

Fax

(407) 513-9328

NPI assigned

Mar 4, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1457049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481846400000",
    "number": "1285094177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 RAYMOND STREET ORLANDO VA MEDICAL CENTER",
            "address_2": "LAKE BALDWIN OPC MENTAL HEALTH, ROOM 422",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32803",
            "telephone_number": "407-646-5500",
            "fax_number": "407-513-9328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 RAYMOND STREET ORLANDO VA MEDICAL CENTER",
            "address_2": "LAKE BALDWIN OPC MENTAL HEALTH, ROOM 422",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32803",
            "telephone_number": "407-646-5500",
            "fax_number": "407-513-9328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IUCHA",
        "first_name": "CORNELIA",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-04",
        "last_updated": "2016-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810005492",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Honorata Anna Itaman, FNP C
• Mona K Itani, PHARMD
• Itsthetruckingforme
• Grantley Ittera, APRN
• Vidyawati Devi Itwaru-Womack, NBC-HWC
• Robert S Iurcovich, MD
• Yaron Ivan, M.D
• Olga Pavlovna Ivanova, PHARMD
• Denys Ivasechko, PHARMD
• Sandra Sue Iverson, PA-C

• Clinical Psychologist in Orlando, FL
• Providers in Orlando, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2016; 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.