Individual provider Active NPI

Zenaida Paula, PSY.D.

  • Clinical Psychologist
  • N Fort Myers, FL
National Provider Identifier
1376855684
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
8114 Issued in FL
Practice address
3460 N Key Dr Apt 503
N Fort Myers, FL 33903-7033
Phone
(239) 303-2583
NPI assigned
Jul 2, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2021

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 8114 FL Primary

Addresses

Primary practice location

3460 N Key Dr Apt 503
N Fort Myers, FL 33903-7033

Mailing address

3460 N Key Dr Apt 503
N Fort Myers, FL 33903-7033
Phone (239) 303-2583

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101026001042 FL Practitioner - Clinical Psychologist 8022201797 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

N Fort Myers, FL 33903
Phone (239) 303-2583

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8114FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Spectra Behavioral Solutions, Inc Current Accepting new patients
Zenaida Paula, Psy.D. Inc. Clinical CurrentSince Aug 20, 2010 Accepting new patients

Locations

10501 Ben C Pratt/6 Mile Cypress Pkwy
Ste 115
Fort Myers, FL 33966
Phone (239) 303-2583

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1278028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1376855684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3460 N KEY DR APT 503",
            "city": "N FORT MYERS",
            "state": "FL",
            "postal_code": "339037033",
            "telephone_number": "239-303-2583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3460 N KEY DR APT 503",
            "city": "N FORT MYERS",
            "state": "FL",
            "postal_code": "339037033",
            "telephone_number": "239-303-2583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULA",
        "first_name": "ZENAIDA",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-02",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "8114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in N Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.