Active NPI
Meghan Fitzpatrick, PSYD, NCSP
- Psychologist
- Lutz, FL
National Provider Identifier
1326761503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY11622
- Practice address
- 17734 Hunting Bow Cir
Lutz, FL 33558-5383 - Phone
- (813) 510-3753
- NPI assigned
- Sep 22, 2022
- Last updated
- Sep 22, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PY11622 | FL | Primary |
Addresses
Primary practice location
17734 Hunting Bow Cir
Lutz, FL 33558-5383
Mailing address
8295 28TH Ave N
St Petersburg, FL 33710-2811
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY11622 | FL | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663804800000",
"number": "1326761503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8295 28TH AVE N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337102811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17734 HUNTING BOW CIR",
"city": "LUTZ",
"state": "FL",
"postal_code": "335585383",
"telephone_number": "813-510-3753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITZPATRICK",
"first_name": "MEGHAN",
"name_prefix": "Dr.",
"credential": "PSYD, NCSP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-22",
"last_updated": "2022-09-22",
"certification_date": "2022-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "FL",
"license": "PY11622",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lutz, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.