Individual provider Active NPI

Nicole Ann Maggio, PSY.D.

  • Clinical Psychologist
  • Altamonte Springs, FL
National Provider Identifier
1588822753
Registry record updated May 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY7685 Issued in FL
Practice address
815 Orienta Ave
Suite 101
Altamonte Springs, FL 32701-5600
Phone
(407) 830-6033
Fax
(407) 830-7383
NPI assigned
May 23, 2008
Last updated
May 23, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2008

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 PY7685 FL Primary

Addresses

Primary practice location

815 Orienta Ave
Suite 101
Altamonte Springs, FL 32701-5600

Mailing address

815 Orienta Ave
Suite 101
Altamonte Springs, FL 32701-5600
Phone (407) 830-6033

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

LicenseStateTypeSpecialty
PY7685FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological Wellness for Children & Families, Inc Past Accepting new patients

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": "1211500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211500800000",
    "number": "1588822753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 ORIENTA AVE",
            "address_2": "SUITE 101",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327015600",
            "telephone_number": "407-830-6033",
            "fax_number": "407-830-7383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 ORIENTA AVE",
            "address_2": "SUITE 101",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327015600",
            "telephone_number": "407-830-6033",
            "fax_number": "407-830-7383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGGIO",
        "first_name": "NICOLE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-23",
        "last_updated": "2008-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY7685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2008; 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.