Active NPI
Margrette Pemberton Ackert
- School Psychologist
- Orlando, FL
National Provider Identifier
1609949783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- SS 0000377
- Practice address
- 601 W Michigan St
Orlando, FL 32805-6203 - Phone
- (407) 317-7430
- NPI assigned
- Nov 16, 2006
- 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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | SS 0000377 | FL | Primary |
Addresses
Primary practice location
601 W Michigan St
Orlando, FL 32805-6203
Mailing address
1759 Sunset Dr
Winter Park, FL 32789-1652
Phone (407) 579-8117
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 |
|---|---|---|---|
| SS 0000377 | FL | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609949783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1759 SUNSET DR",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327891652",
"telephone_number": "407-579-8117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 W MICHIGAN ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328056203",
"telephone_number": "407-317-7430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACKERT",
"first_name": "MARGRETTE",
"middle_name": "PEMBERTON",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "FL",
"license": "SS 0000377",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.