Individual provider Active NPI

Faith J Powers, PSY.D.

  • Psychologist
  • Inverness, FL
National Provider Identifier
1740587328
Registry record updated Jun 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY8094 Issued in FL
Practice address
111 W Main St Ste 307
Inverness, FL 34450-4807
Phone
(352) 201-4955
NPI assigned
Feb 17, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY8094 FL Primary

Addresses

Primary practice location

111 W Main St Ste 307
Inverness, FL 34450-4807

Mailing address

111 W Main St Ste 307
Inverness, FL 34450-4807

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
I20110711000184 FL Practitioner - Clinical Psychologist 5890973143 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

111 W Main St
Suite 307
Inverness, FL 34450-4807
Phone (352) 201-4955

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Neuropsychology and Counseling Center LLC CurrentSince Jul 16, 2011 Accepting new patients
Optimum Living Psychology, PLLC Psychologist CurrentSince Aug 1, 2019 Accepting new patients

Locations

111 W Main St
Ste 307
Inverness, FL 34450
Phone (352) 201-4955

5401 S Kirkman Rd
Ste 680
Orlando, FL 32819
Phone (407) 704-7608

5401 S Kirkman Rd
Ste 550
Orlando, FL 32819
Phone (407) 704-7608

Organizations & group practices 2

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": "1297900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560729600000",
    "number": "1740587328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W MAIN ST STE 307",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344504807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W MAIN ST STE 307",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344504807",
            "telephone_number": "352-201-4955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWERS",
        "first_name": "FAITH",
        "middle_name": "J",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-17",
        "last_updated": "2019-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY8094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inverness, FL

Sources for this page

Verify at the official NPI Registry.