Active NPI
Ingrid Pujol, ED.S.
- School Psychologist
- Saint Cloud, FL
National Provider Identifier
1487405585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- SS1488
- Practice address
- 2521 13TH St Ste F
Saint Cloud, FL 34769-4103 - Phone
- (407) 900-4885
- Fax
- (866) 515-9293
- NPI assigned
- Mar 28, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | SS1488 | FL | Primary |
Addresses
Primary practice location
2521 13TH St Ste F
Saint Cloud, FL 34769-4103
Mailing address
2521 13TH St Ste F
Saint Cloud, FL 34769-4103
Phone (407) 900-4885
Other practice location 1
2521 13th St Ste F
Saint Cloud, FL 34769-4103
Phone (407) 900-4885
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SS1488 | FL | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Psychology of Central Florida, LLC | Current | Accepting new patients |
Locations
2521 13th St
Ste F
Saint Cloud, FL 34769
Phone (407) 841-1310
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 and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Saint Cloud, FL
- NPI 1891131637
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711584000000",
"number": "1487405585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2521 13TH ST STE F",
"city": "SAINT CLOUD",
"state": "FL",
"postal_code": "347694103",
"telephone_number": "407-900-4885",
"fax_number": "866-515-9293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2521 13TH ST STE F",
"city": "SAINT CLOUD",
"state": "FL",
"postal_code": "347694103",
"telephone_number": "407-900-4885",
"fax_number": "866-515-9293"
}
],
"practiceLocations": [
{
"address_1": "2521 13th St Ste F",
"address_purpose": "LOCATION",
"city": "Saint Cloud",
"state": "FL",
"postal_code": "347694103",
"country_code": "US",
"telephone_number": "407-900-4885",
"fax_number": "866-515-9293",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PUJOL",
"first_name": "INGRID",
"credential": "ED.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-28",
"last_updated": "2024-03-28",
"certification_date": "2024-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "FL",
"license": "SS1488",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Cloud, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.