Sunrise Psychological Services Inc

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY3245 Issued in FL

Legal business name

SUNRISE PSYCHOLOGICAL SERVICES INC

Practice address

950 N Collier Blvd FL 4
Marco Island, FL 34145-2725

Phone

(239) 280-6061

NPI assigned

Sep 22, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Constance Aria, PH.D.

Title

President

Phone

(239) 280-6061

Specialties & licenses 6

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572307200000",
    "number": "1356441216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14398 MANCHESTER DR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341148626",
            "telephone_number": "239-280-6061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 N COLLIER BLVD FL 4",
            "city": "MARCO ISLAND",
            "state": "FL",
            "postal_code": "341452725",
            "telephone_number": "239-280-6061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE PSYCHOLOGICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2019-10-29",
        "status": "A",
        "authorized_official_last_name": "ARIA",
        "authorized_official_first_name": "CONSTANCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-280-6061",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY3245",
            "primary": true
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "PY3245",
            "primary": false
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "FL",
            "license": "PY3245",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "FL",
            "license": "PY3245",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY3245",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "FL",
            "license": "PY3245",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "75280",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas John Spinuzza, MD
• Keri Stallings-Kelton
• Lidia Starr, PA
• Douglas Joe Stephenson, D.C.
• Elana Marie Stewart
• Gerald R Swiacki, D.O.
• Jamie Elizabeth Taylor
• Serenity Nicole Taylor
• Zoe J Taylor, RBT
• Rosemary Margaret Tecza, PHARMD

• Psychologist in Marco Island, FL
• Providers in Marco Island, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; 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.