Organization Active NPI

Innoved Psych Solutions LLC

  • School Psychologist
  • Cape Coral, FL
National Provider Identifier
1740145333
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
Legal business name
INNOVED PSYCH SOLUTIONS LLC
Practice address
1222 SE 47TH St
Cape Coral, FL 33904-9661
Phone
(239) 788-6810
NPI assigned
Dec 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Authorized official

Name
Amy Clark, MS, EDS, LSPNPI 1831085182
Title
MBR/Owner
Phone
(208) 755-4993

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TS0200X Primary

Addresses

Primary practice location

1222 SE 47TH St
Cape Coral, FL 33904-9661

Mailing address

1428 SE 31St St
Cape Coral, FL 33904-3983
Phone (208) 755-4993

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1765929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765929600000",
    "number": "1740145333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1428 SE 31ST ST",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339043983",
            "telephone_number": "208-755-4993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 SE 47TH ST",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339049661",
            "telephone_number": "239-788-6810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVED PSYCH SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-17",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "MBR/OWNER",
        "authorized_official_telephone_number": "208-755-4993",
        "authorized_official_credential": "MS, EDS, LSP"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; 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.