Individual provider Active NPI

Christopher Michael Cortman, PSY.D.

  • Psychologist
  • Venice, FL
National Provider Identifier
1629160775
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY3567 Issued in FL
Practice address
871 Venetia Bay Blvd
Suite 360
Venice, FL 34285-8047
Phone
(941) 485-8586
Fax
(941) 480-9013
NPI assigned
Sep 28, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY3567 FL Primary

Addresses

Primary practice location

871 Venetia Bay Blvd
Suite 360
Venice, FL 34285-8047

Mailing address

871 Venetia Bay Blvd
Suite 360
Venice, FL 34285-8047
Phone (941) 485-8586

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120326000037 FL Practitioner - Clinical Psychologist 4981864238 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

871 Venetia Bay Blvd
Venice, FL 34285-8038

871 Venetia Bay Blvd
Suite 360
Venice, FL 34285-8051
Phone (941) 485-8586

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY3567FLMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Christopher M Cortman Doctor of Psychology PA Psychologist CurrentSince Dec 25, 1985 Accepting new patients

Locations

871 Venetia Bay Blvd
Ste 360
Venice, FL 34285
Phone (941) 480-9000

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629160775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "871 VENETIA BAY BLVD",
            "address_2": "SUITE 360",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342858047",
            "telephone_number": "941-485-8586",
            "fax_number": "941-480-9013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "871 VENETIA BAY BLVD",
            "address_2": "SUITE 360",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342858047",
            "telephone_number": "941-485-8586",
            "fax_number": "941-480-9013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORTMAN",
        "first_name": "CHRISTOPHER",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY3567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

Verify at the official NPI Registry.