Individual provider Active NPI

Violet D Poetter, PSY.D.

  • Clinical Psychologist
  • Ocala, FL
National Provider Identifier
1366542920
Registry record updated Nov 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY0003308 Issued in FL
Practice address
3002 SE 1St Ave
#200
Ocala, FL 34471-0477
Phone
(352) 351-5522
Fax
(352) 351-2950
NPI assigned
Sep 24, 2006
Last updated
Nov 18, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY0003308 FL Primary

Addresses

Primary practice location

3002 SE 1St Ave
#200
Ocala, FL 34471-0477

Mailing address

3002 SE 1St Ave
#200
Ocala, FL 34471-0477
Phone (352) 351-5522

Other identifiers 3

IdentifierTypeStateIssuer
1174637268OtherFLNPI GROUP
75294OtherBCBS
1366542920OtherPERSONAL NPI

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PY0003308FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Poetter & Poetter, P.a. Clinical PastSince Feb 1, 2011 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290038400000",
    "number": "1366542920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3002 SE 1ST AVE",
            "address_2": "#200",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344710477",
            "telephone_number": "352-351-5522",
            "fax_number": "352-351-2950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3002 SE 1ST AVE",
            "address_2": "#200",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344710477",
            "telephone_number": "352-351-5522",
            "fax_number": "352-351-2950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POETTER",
        "first_name": "VIOLET",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-24",
        "last_updated": "2010-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY0003308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI GROUP",
            "identifier": "1174637268",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "75294",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1366542920",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.