Active NPI
Ginette Marie Ortiz, PSY D
- Clinical Psychologist
- Orlando, FL
National Provider Identifier
1538324256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 001422
- Practice address
- 3972 Garden Plaza Way Apt 4723
Orlando, FL 32837-3386 - Phone
- (407) 704-6454
- NPI assigned
- Jul 22, 2008
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 001422 | PR | Primary |
Addresses
Primary practice location
3972 Garden Plaza Way Apt 4723
Orlando, FL 32837-3386
Mailing address
38133 Camarada LN
Murrieta, CA 92563-3239
Phone (760) 809-1663
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001422 | PR | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706572800000",
"number": "1538324256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38133 CAMARADA LN",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925633239",
"telephone_number": "760-809-1663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3972 GARDEN PLAZA WAY APT 4723",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328373386",
"telephone_number": "407-704-6454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ",
"first_name": "GINETTE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "PSY D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-22",
"last_updated": "2024-01-30",
"certification_date": "2024-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "001422",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.