Active NPI
Harald W Lettner PHD PA
- Clinical Neuropsychologist
- Naples, FL
National Provider Identifier
1508950312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- PY4878
- Legal business name
- HARALD W LETTNER PHD PA
- Practice address
- 501 Goodlette Rd N
Ste. C 104
Naples, FL 34102-5661 - Phone
- (239) 434-6111
- Fax
- (239) 649-0472
- NPI assigned
- Oct 3, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Harald Wolfgang Lettner, PHD
- Title
- Owner
- Phone
- (239) 434-6111
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | PY4878 | FL | Primary |
| Clinical Psychologist | 103TC0700X | PY4878 | FL |
Addresses
Primary practice location
501 Goodlette Rd N
Ste. C 104
Naples, FL 34102-5661
Mailing address
501 Goodlette Rd N
Ste. C 104
Naples, FL 34102-5661
Phone (239) 434-6111
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 59545 | Other | FL | BLUE CROSS BLUE SHIELD ID |
| PY4878 | Other | FL | LICENSE NUMBER |
National Provider Directory
National Provider DirectoryLocations
501 Goodlette Rd
Ste D306
Naples, FL 34102
Phone (239) 263-0014
501 Goodlette Rd
Ste C104
Naples, FL 34102
Phone (238) 434-6111
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Cape Coral, FL
- NPI 1417052853
-
- Clinical Social Worker
- Fort Myers, FL
- NPI 1225214950
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1424217600000",
"number": "1508950312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 GOODLETTE RD N",
"address_2": "STE. C 104",
"city": "NAPLES",
"state": "FL",
"postal_code": "341025661",
"telephone_number": "239-434-6111",
"fax_number": "239-649-0472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 GOODLETTE RD N",
"address_2": "STE. C 104",
"city": "NAPLES",
"state": "FL",
"postal_code": "341025661",
"telephone_number": "239-434-6111",
"fax_number": "239-649-0472"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HARALD W LETTNER PHD PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-03",
"last_updated": "2015-02-18",
"status": "A",
"authorized_official_last_name": "LETTNER",
"authorized_official_first_name": "HARALD",
"authorized_official_middle_name": "WOLFGANG",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "239-434-6111",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Clinical Neuropsychologist",
"state": "FL",
"license": "PY4878",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY4878",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD ID",
"identifier": "59545",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "PY4878",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.