Integrative Health Psychology PA

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY 5233 Issued in FL

Legal business name

INTEGRATIVE HEALTH PSYCHOLOGY PA

Practice address

2441 W Sr 426
Suite 1021
Oviedo, FL 32765-4515

Phone

(407) 706-0622

Fax

(407) 706-0623

NPI assigned

Aug 14, 2005

Last updated

Sep 16, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Louis Francis Damis, PH.D.NPI 1831181817

Title

President

Phone

(407) 706-0622

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Louis Francis Damis, PH.D.

  • Clinical Psychologist
  • Oviedo, FL
  • NPI 1831181817
  Medicare reassignment NPD Authorized official
• Shannon Kelly, PSY.D.

  • Health Service Psychologist
  • Winter Park, FL
  • NPI 1457313330
  NPD (past)
• Emily Catherine Ptaszek, PSYD

  • Clinical Psychologist
  • Fort Myers, FL
  • NPI 1821027814
  NPD (past)
• Lori T Shallcross, LCSW

  • Clinical Social Worker
  • Clermont, FL
  • NPI 1417911785
  NPD (past)
• Ralph Christopher Votolato, PSY. D.

  • Clinical Psychologist
  • Fort Myers, FL
  • NPI 1922034545
  NPD (past)
• Kimberly Nelson Kent, PH.D.

  • Clinical Psychologist
  • New Orleans, LA
  • NPI 1902048903
  NPD (past)

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

{
    "created_epoch": "1123977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221523200000",
    "number": "1457353930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2441 W SR 426",
            "address_2": "SUITE 1021",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327654515",
            "telephone_number": "407-706-0622",
            "fax_number": "407-706-0623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2441 W SR 426",
            "address_2": "SUITE 1021",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327654515",
            "telephone_number": "407-706-0622",
            "fax_number": "407-706-0623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE HEALTH PSYCHOLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-14",
        "last_updated": "2008-09-16",
        "status": "A",
        "authorized_official_last_name": "DAMIS",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-706-0622",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY 5233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "94987",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Oviedo, FL
• Providers in Oviedo, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.