Individual provider Active NPI

Alyssa Steckler

  • Clinical Psychologist
  • Winter Garden, FL
National Provider Identifier
1780354811
Registry record updated Sep 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
11068 Issued in FL
Practice address
310 S Dillard St Ste 190
Winter Garden, FL 34787-3567
Phone
(407) 347-0661
Fax
(407) 347-0664
NPI assigned
Sep 20, 2021
Last updated
Sep 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 11068 FL
Cognitive & Behavioral Psychologist 103TB0200X NU
Clinical Psychologist 103TC0700X 11068 FL Primary
Counseling Psychologist 103TC1900X NU

Addresses

Primary practice location

310 S Dillard St Ste 190
Winter Garden, FL 34787-3567

Mailing address

310 S Dillard St Ste 190
Winter Garden, FL 34787-3567
Phone (407) 347-0661

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11068FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling & Psychological Services of Central Florida, LLC CurrentSince Jul 7, 2021 Accepting new patients

Locations

310 S Dillard St
Ste 190
Winter Garden, FL 34787
Phone (407) 347-0661

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1632096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632096000000",
    "number": "1780354811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 S DILLARD ST STE 190",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347873567",
            "telephone_number": "407-347-0661",
            "fax_number": "407-347-0664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 S DILLARD ST STE 190",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347873567",
            "telephone_number": "407-347-0661",
            "fax_number": "407-347-0664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STECKLER",
        "first_name": "ALYSSA",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-20",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "11068",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "11068",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Garden, FL

Sources for this page

Verify at the official NPI Registry.