Individual provider Active NPI

Linda N Lotz, PHD

  • Counseling Psychologist
  • Gainesville, FL
National Provider Identifier
1780807479
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
PY5496 Issued in FL
Practice address
2631 NW 41St St
Suite E-5
Gainesville, FL 32606-7470
Phone
(352) 371-4900
Fax
(352) 371-4944
NPI assigned
Apr 11, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X PY5496 FL Primary

Addresses

Primary practice location

2631 NW 41St St
Suite E-5
Gainesville, FL 32606-7470

Mailing address

2631 NW 41St St
Suite E-5
Gainesville, FL 32606-7470
Phone (352) 371-4900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY5496FLMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Psychological Services LLC PastSince Jan 24, 2006 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780807479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2631 NW 41ST ST",
            "address_2": "SUITE E-5",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326067470",
            "telephone_number": "352-371-4900",
            "fax_number": "352-371-4944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2631 NW 41ST ST",
            "address_2": "SUITE E-5",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326067470",
            "telephone_number": "352-371-4900",
            "fax_number": "352-371-4944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOTZ",
        "first_name": "LINDA",
        "middle_name": "N",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "FL",
            "license": "PY5496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.