Individual provider Active NPI

Maria P. Wojtalewicz, PH.D.

  • Psychologist
  • Gainesville, FL
National Provider Identifier
1588848865
Registry record updated Jul 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY 7355 Issued in FL
Practice address
4337 NW 26TH Ter
Gainesville, FL 32605-1638
Phone
(352) 264-0511
NPI assigned
Dec 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY 7355 FL Primary

Addresses

Primary practice location

4337 NW 26TH Ter
Gainesville, FL 32605-1638

Mailing address

4337 NW 26TH Ter
Gainesville, FL 32605-1638
Phone (352) 264-0511

Other identifiers 1

IdentifierTypeStateIssuer
812404300MedicaidFL

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY 7355FLMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1198368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216166400000",
    "number": "1588848865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4337 NW 26TH TER",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326051638",
            "telephone_number": "352-264-0511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4337 NW 26TH TER",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326051638",
            "telephone_number": "352-264-0511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOJTALEWICZ",
        "first_name": "MARIA",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-23",
        "last_updated": "2008-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY 7355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "812404300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.