Active NPI
Virginia Samantha Lindmeier, PSY.D.
- Psychologist
- Lady Lake, FL
National Provider Identifier
1730143249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 117 N US Highway 441 Ste 205
Lady Lake, FL 32159-4383 - Phone
- (352) 787-2000
- Fax
- (352) 787-2000
- NPI assigned
- Apr 12, 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | PY7901 | FL | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | |||
| Forensic Psychologist | 103TF0200X | |||
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
117 N US Highway 441 Ste 205
Lady Lake, FL 32159-4383
Mailing address
117 N US Highway 441 Ste 205
Lady Lake, FL 32159-4383
Phone (352) 787-2000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 272312739 | Other | FL | CIGNA |
| 5931C | Other | FL | BLUE CROSS BLUE SHEILD |
| 765567300 | Medicaid | FL |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090909000458 | FL | Practitioner - Clinical Psychologist | 0446305858 | Practice locations: Lady Lake, FL |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
117 N US Hwy 441
Suite 205
Lady Lake, FL 32459
Phone (352) 787-2000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Counseling & Development Center Inc | Counseling | Past | Accepting new patients |
| Neuropsychology & Counseling Services PA | Psychologist | Past | Accepting new patients |
| Leesburg Psychology | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Counseling Psychologist
- Tavares, FL
- NPI 1851327514
-
- Clinical Psychologist
- Leesburg, FL
- NPI 1710204292
-
- Psychologist
- Tavares, FL
- NPI 1588860670
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658102400000",
"number": "1730143249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 N US HIGHWAY 441 STE 205",
"city": "LADY LAKE",
"state": "FL",
"postal_code": "321594383",
"telephone_number": "352-787-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 N US HIGHWAY 441 STE 205",
"city": "LADY LAKE",
"state": "FL",
"postal_code": "321594383",
"telephone_number": "352-787-2000",
"fax_number": "352-787-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINDMEIER",
"first_name": "VIRGINIA",
"middle_name": "SAMANTHA",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-12",
"last_updated": "2022-07-18",
"certification_date": "2022-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "FL",
"license": "PY7901",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "272312739",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHEILD",
"identifier": "5931C",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "765567300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lady Lake, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.