Active NPI
Margie Justice-Pitoniak
- Psychologist
- Louisville, KY
National Provider Identifier
1790090884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY 9815
- Practice address
- 914 E Broadway
2ND Floor
Louisville, KY 40204-1037 - Phone
- (502) 589-8600
- Fax
- (502) 589-8771
- NPI assigned
- Aug 12, 2010
- Last updated
- Jul 18, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Psychologist | 103T00000X | PY 9815 | FL | Primary |
Addresses
Primary practice location
914 E Broadway
2ND Floor
Louisville, KY 40204-1037
Mailing address
101 W Muhammad Ali Blvd
Louisville, KY 40202-1423
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5401 S Kirkman Rd
Suite 550
Orlando, FL 32819-7932
Phone (407) 704-7608
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY 9815 | FL | MD | Psychologist |
Networks
- Freedom Health HMO Network
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.
-
- Clinical Psychologist
- Orlando, FL
- NPI 1548566557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721260800000",
"number": "1790090884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 W MUHAMMAD ALI BLVD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402021423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "914 E BROADWAY",
"address_2": "2ND FLOOR",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402041037",
"telephone_number": "502-589-8600",
"fax_number": "502-589-8771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUSTICE-PITONIAK",
"first_name": "MARGIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-12",
"last_updated": "2024-07-18",
"certification_date": "2024-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "FL",
"license": "PY 9815",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.