Indigo Psychological Services LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

INDIGO PSYCHOLOGICAL SERVICES LLC

Practice address

625 111TH Ave N
Naples, FL 34108-1825

Phone

(305) 244-3458

NPI assigned

Dec 29, 2018

Organization subpart

No

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

Authorized official

Name

David Fuentes

Title

Psychologist / Owner

Phone

(305) 244-3458

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1546041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546041600000",
    "number": "1346712411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 111TH AVE N",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341081825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 111TH AVE N",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341081825",
            "telephone_number": "305-244-3458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIGO PSYCHOLOGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-29",
        "last_updated": "2018-12-29",
        "status": "A",
        "authorized_official_last_name": "FUENTES",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PSYCHOLOGIST / OWNER",
        "authorized_official_telephone_number": "305-244-3458"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Imperial Rehab LLC
• Improving Your Health, Inc
• Inable, Inc.
• Independence Care of Florida at Naples, LLC
• Indiana Joint Replacement Institute
• Cristina Infante Zambrano, DDS
• Infectious Disease Associates of Naples LLC
• Infinite Care Home Health Services, LLC
• Infinite Care Nursing Registry, LLC.
• Infinite Mindset Therapy and Training Corp

• Clinical Psychologist in Naples, FL
• Providers in Naples, 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 29, 2018; 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.