Individual provider Active NPI

Ivonne Marie Ferrer, PSY. D.

  • Psychologist
  • Lady Lake, FL
National Provider Identifier
1326216748
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1202 Issued in PR
Practice address
929 N US Highway 441 Ste 601
Lady Lake, FL 32159-3003
Phone
(352) 804-6100
NPI assigned
Feb 19, 2008
Last updated
Jul 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1202 PR Primary

Addresses

Primary practice location

929 N US Highway 441 Ste 601
Lady Lake, FL 32159-3003

Mailing address

3819 SE 38TH Loop
Ocala, FL 34480
Phone (352) 804-6100

Other practice location 1

3309 SW 34th Cir
Ocala, FL 34474-3392
Phone (352) 804-6100

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190523000918 FL Practitioner - Clinical Psychologist 7618210220 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

929 N US Hwy 441
Suite 601
Lady Lake, FL 32159-3003
Phone (352) 804-6100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1202PRMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health of Central Florida, LLC CurrentSince Apr 1, 2019 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1326216748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3819 SE 38TH LOOP",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "34480",
            "telephone_number": "352-804-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 N US HIGHWAY 441 STE 601",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321593003",
            "telephone_number": "352-804-6100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3309 SW 34th Cir",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344743392",
            "country_code": "US",
            "telephone_number": "352-804-6100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERRER",
        "first_name": "IVONNE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PSY. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-19",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lady Lake, FL

Sources for this page

Verify at the official NPI Registry.