Judy Sicilia, PSYD, PA

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY4797 Issued in FL

Legal business name

JUDY SICILIA, PSYD, PA

Practice address

1560 Matthew Dr
Unit F
Fort Myers, FL 33907-1702

Phone

(239) 275-9989

Fax

(239) 277-1993

NPI assigned

Dec 27, 2010

Organization subpart

No

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

Authorized official

Name

Judy Sicilia, PSYD

Title

President

Phone

(239) 275-9989

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1293408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293408000000",
    "number": "1356645832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 MATTHEW DR",
            "address_2": "UNIT F",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071702",
            "telephone_number": "239-275-9989",
            "fax_number": "239-277-1993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 MATTHEW DR",
            "address_2": "UNIT F",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071702",
            "telephone_number": "239-275-9989",
            "fax_number": "239-277-1993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDY SICILIA, PSYD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-27",
        "last_updated": "2010-12-27",
        "status": "A",
        "authorized_official_last_name": "SICILIA",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-275-9989",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY4797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Fort Myers, FL
• Providers in Fort Myers, 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 27, 2010; 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.