Active NPI
Michael Flounlacker
- Counseling Psychologist
- Pensacola, FL
National Provider Identifier
1447893847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- PY9135
- Practice address
- 4300 Bayou Blvd Ste 35B
Pensacola, FL 32503-2671 - Phone
- (850) 377-5623
- NPI assigned
- Oct 18, 2019
- Last updated
- Oct 18, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | PY9135 | FL | Primary |
Addresses
Primary practice location
4300 Bayou Blvd Ste 35B
Pensacola, FL 32503-2671
Mailing address
4300 Bayou Blvd Ste 35B
Pensacola, FL 32503-2671
Phone (850) 377-5623
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| L19000221536 | Other | FL | UNKNOWN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | PENSACOLA | Direct |
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| In Home Recovery Care | Current | Accepting new patients |
Locations
4300 Bayou Blvd
Ste 35B
Pensacola, FL 32503
Phone (850) 346-6326
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571356800000",
"number": "1447893847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300 BAYOU BLVD STE 35B",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325032671",
"telephone_number": "850-377-5623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 BAYOU BLVD STE 35B",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325032671",
"telephone_number": "850-377-5623"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLOUNLACKER",
"first_name": "MICHAEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-10-18",
"last_updated": "2019-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "FL",
"license": "PY9135",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNKNOWN",
"identifier": "L19000221536",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "PENSACOLA",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "PENSACOLA",
"address_1": "4300 Bayou Blvd Ste 35B",
"city": "Pensacola",
"state": "FL",
"country_code": "US",
"postal_code": "325032671",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.