NPIMap

Organization Active NPI

Clinical Health Psychology Associates, LLC

  • Clinical Psychologist
  • Inverness, FL
National Provider Identifier
1326268657
Registry record updated Feb 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY 6989 Issued in FL
Legal business name
CLINICAL HEALTH PSYCHOLOGY ASSOCIATES, LLC
Practice address
957 S. Lois Terrace
Suite 102
Inverness, FL 34452
Phone
(352) 341-0200
Fax
(352) 341-0700
NPI assigned
Apr 27, 2007
Last updated
Feb 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2008

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

Authorized official

Name
Dr. Marie-Anne Salvio, PHDNPI 1346274529
Title
Director
Phone
(352) 341-0200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103G00000X CT 1994 CT
Clinical NeuropsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103G00000X PY 6989 FL
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X CT 1994 CT
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X PY 6989 FL Primary

Addresses

Primary practice location

957 S. Lois Terrace
Suite 102
Inverness, FL 34452

Mailing address

957 S. Lois Terrace
Suite 102
Inverness, FL 34452
Phone (352) 341-0200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070509000332 FL Part B Supplier - Clinic/Group Practice 5193821031 Receives reassigned benefits from 1 practitioner
Practice locations: Inverness, FL

National Provider Directory

National Provider Directory

Locations

3362 E Gulf To Lake Hwy
Inverness, FL 34453
Phone (352) 341-0200

957 S Lois Ter
Ste 102
Inverness, FL 34452
Phone (352) 341-0200

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203638400000",
    "number": "1326268657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "957 S. LOIS TERRACE",
            "address_2": "SUITE 102",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "34452",
            "telephone_number": "352-341-0200",
            "fax_number": "352-341-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "957 S. LOIS TERRACE",
            "address_2": "SUITE 102",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "34452",
            "telephone_number": "352-341-0200",
            "fax_number": "352-341-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL HEALTH PSYCHOLOGY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-27",
        "last_updated": "2008-02-22",
        "status": "A",
        "authorized_official_last_name": "SALVIO",
        "authorized_official_first_name": "MARIE-ANNE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "352-341-0200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "CT",
            "license": "CT 1994",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY 6989",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "CT 1994",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY 6989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inverness, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.