Individual provider Active NPI

Virginia Samantha Lindmeier, PSY.D.

  • Psychologist
  • Lady Lake, FL
National Provider Identifier
1730143249
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
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

Updated by the provider on Jul 18, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
272312739OtherFLCIGNA
5931COtherFLBLUE CROSS BLUE SHEILD
765567300MedicaidFL

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
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

OrganizationSpecialtyStatusNew patients
Counseling & Development Center Inc Counseling PastSince Feb 20, 2013 Accepting new patients
Neuropsychology & Counseling Services PA Psychologist PastSince Mar 7, 2008 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.

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

Verify at the official NPI Registry.