Organization Active NPI

Christopher M Cortman Doctor of Psychology PA

  • Psychologist
  • Venice, FL
National Provider Identifier
1467727016
Registry record updated Mar 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY 3567 Issued in FL
Legal business name
CHRISTOPHER M CORTMAN DOCTOR OF PSYCHOLOGY PA
Practice address
871 Venetia Bay Blvd
Ste 360
Venice, FL 34285-8051
Phone
(941) 485-8586
Fax
(941) 480-9013
NPI assigned
Mar 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2012

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

Authorized official

Name
Dr. Christopher M Cortman, PSYDNPI 1629160775
Title
President
Phone
(941) 485-8586

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PY 3567 FL Primary

Addresses

Primary practice location

871 Venetia Bay Blvd
Ste 360
Venice, FL 34285-8051

Mailing address

871 Venetia Bay Blvd
Ste 360
Venice, FL 34285-8051
Phone (941) 485-8586

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120326000012 FL Part B Supplier - Clinic/Group Practice 3173783412 Receives reassigned benefits from 1 practitioner
Practice locations: Venice, FL

National Provider Directory

National Provider Directory

Locations

871 Venetia Bay Blvd
Ste 360
Venice, FL 34285
Phone (941) 480-9000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1331769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331769600000",
    "number": "1467727016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "871 VENETIA BAY BLVD",
            "address_2": "STE 360",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342858051",
            "telephone_number": "941-485-8586",
            "fax_number": "941-480-9013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "871 VENETIA BAY BLVD",
            "address_2": "STE 360",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342858051",
            "telephone_number": "941-485-8586",
            "fax_number": "941-480-9013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER M CORTMAN DOCTOR OF PSYCHOLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-15",
        "last_updated": "2012-03-15",
        "status": "A",
        "authorized_official_last_name": "CORTMAN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-485-8586",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY 3567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2012; 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.