Individual provider Active NPI

Catherine Ionelli, PH.D.

  • Clinical Psychologist
  • Winter Garden, FL
National Provider Identifier
1477639177
Registry record updated Oct 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
8921 Issued in FL
Practice address
314 E Plant St
Winter Garden, FL 34787-3133
Phone
(239) 595-1217
NPI assigned
Oct 27, 2006
Last updated
Oct 10, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2014

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 8921 FL Primary

Addresses

Primary practice location

314 E Plant St
Winter Garden, FL 34787-3133

Mailing address

6423 Point Hancock Dr
Winter Garden, FL 34787-8765
Phone (239) 595-1217

Other names 1

  • Dr. Kate Ionelli Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 1, 2023 through Apr 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
8921FLMDClinical Psychologist

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": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412899200000",
    "number": "1477639177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6423 POINT HANCOCK DR",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347878765",
            "telephone_number": "239-595-1217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 E PLANT ST",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347873133",
            "telephone_number": "239-595-1217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IONELLI",
        "first_name": "CATHERINE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2014-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "8921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATE",
            "last_name": "IONELLI",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Winter Garden, FL

Sources for this page

Verify at the official NPI Registry.