Individual provider Active NPI

Stanislaw J Strycharz, PSY.D.

  • Clinical Psychologist
  • Bonita Springs, FL
National Provider Identifier
1649543208
Registry record updated Feb 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY8341 Issued in FL
Practice address
26811 S Bay Dr
Suite 300
Bonita Springs, FL 34134-4394
Phone
(239) 992-4300
Fax
(239) 495-9424
NPI assigned
Feb 13, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X
Clinical Psychologist 103TC0700X PY8341 FL Primary

Addresses

Primary practice location

26811 S Bay Dr
Suite 300
Bonita Springs, FL 34134-4394

Mailing address

26811 S Bay Dr
Suite 300
Bonita Springs, FL 34134-4394
Phone (239) 992-4300

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1329091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329091200000",
    "number": "1649543208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26811 S BAY DR",
            "address_2": "SUITE 300",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341344394",
            "telephone_number": "239-992-4300",
            "fax_number": "239-495-9424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26811 S BAY DR",
            "address_2": "SUITE 300",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341344394",
            "telephone_number": "239-992-4300",
            "fax_number": "239-495-9424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRYCHARZ",
        "first_name": "STANISLAW",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-13",
        "last_updated": "2012-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY8341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonita Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2012; 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.