Individual provider Active NPI

Frances F Prevatt, PH.D.

  • Clinical Psychologist
  • Tallahassee, FL
National Provider Identifier
1588975593
Registry record updated Jun 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY6123 Issued in FL
Practice address
1114 W Call St
2207 Stone Building
Tallahassee, FL 32304-3476
Phone
(850) 644-3611
Fax
(850) 645-3308
NPI assigned
Jun 24, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2010

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 PY6123 FL Primary

Addresses

Primary practice location

1114 W Call St
2207 Stone Building
Tallahassee, FL 32304-3476

Mailing address

1114 W Call St
2207 Stone Building
Tallahassee, FL 32304-3476
Phone (850) 644-3611

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
PY6123FLMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1277337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277337600000",
    "number": "1588975593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 W CALL ST",
            "address_2": "2207 STONE BUILDING",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323043476",
            "telephone_number": "850-644-3611",
            "fax_number": "850-645-3308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 W CALL ST",
            "address_2": "2207 STONE BUILDING",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323043476",
            "telephone_number": "850-644-3611",
            "fax_number": "850-645-3308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREVATT",
        "first_name": "FRANCES",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-24",
        "last_updated": "2010-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY6123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2010; 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.