Carmen I Tozzo PA

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY5911 Issued in FL

Legal business name

CARMEN I TOZZO PA

Practice address

630 N Main St
Williston, FL 32696-1705

Phone

(352) 529-2570

Fax

(352) 529-2570

NPI assigned

Sep 6, 2012

Last updated

Oct 28, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Carmen I Tozzo, PH,D.

Title

President

Phone

(352) 318-2339

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carmen A. Tozzo, PHD

  • Clinical Psychologist
  • Chiefland, FL
  • NPI 1104915313
  Medicare reassignment NPD

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

{
    "created_epoch": "1346889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445990400000",
    "number": "1659620409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 817",
            "city": "WILLISTON",
            "state": "FL",
            "postal_code": "326960817",
            "telephone_number": "352-318-2339",
            "fax_number": "352-419-6310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 N MAIN ST",
            "city": "WILLISTON",
            "state": "FL",
            "postal_code": "326961705",
            "telephone_number": "352-529-2570",
            "fax_number": "352-529-2570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARMEN I TOZZO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-06",
        "last_updated": "2015-10-28",
        "status": "A",
        "authorized_official_last_name": "TOZZO",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-318-2339",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH,D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY5911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Attul Mulji Bharadwa, RPH
• Payal Bhatt Abraham, M.D.
• Amber Bowers, APRN
• Andrew Nelson Brice, PT/ATC
• Anita Brown
• CDPG, P.L. (Christie Dental of Williston)
• Choicesfla Counseling Services LLC (Choices LLC)
• Gina Renee Chubb, LMT
• CNS Holding Company LLC (Williston Rural Health and Wellness Clinic)
• Compassionate Care Group Home LLC

• Clinical Psychologist in Williston, FL
• Providers in Williston, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.