Organization Active NPI

Catherine Ionelli, PH.D., LLC

  • Clinical Psychologist
  • Winter Garden, FL
National Provider Identifier
1588068159
Registry record updated Oct 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY-8921 Issued in FL
Legal business name
CATHERINE IONELLI, PH.D., LLC
Practice address
314 E Plant St
A-106
Winter Garden, FL 34787-3133
Phone
(239) 595-1217
NPI assigned
Oct 10, 2014
Organization subpart
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

Authorized official

Name
Catherine Ionelli, PH.D.
Title
Licensed Psychologist/Ceo
Phone
(239) 595-1217

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X PY-8921 FL Primary

Addresses

Primary practice location

314 E Plant St
A-106
Winter Garden, FL 34787-3133

Mailing address

314 E Plant St
A-106
Winter Garden, FL 34787-3133
Phone (239) 595-1217

Other names 1

  • Optimal Health Psychological Services Doing business as

National Provider Directory

National Provider Directory

Locations

314 E Plant St
Winter Garden, FL 34787
Phone (239) 300-2483

314 E Plant St
Ste A
Winter Garden, FL 34787

314 E Plant St
#A106
Winter Garden, FL 34787
Phone (239) 595-1217

NPI Registry JSON

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

{
    "created_epoch": "1412899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412899200000",
    "number": "1588068159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 E PLANT ST",
            "address_2": "A-106",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347873133",
            "telephone_number": "239-595-1217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 E PLANT ST",
            "address_2": "A-106",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347873133",
            "telephone_number": "239-595-1217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHERINE IONELLI, PH.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-10",
        "last_updated": "2014-10-10",
        "status": "A",
        "authorized_official_last_name": "IONELLI",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST/CEO",
        "authorized_official_telephone_number": "239-595-1217",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY-8921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optimal Health Psychological Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winter Garden, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.