Mickaella Moreta Corp

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PPY185 Issued in FL

Legal business name

MICKAELLA MORETA CORP

Practice address

2401 University Pkwy BLDG 1
Suite 203
Sarasota, FL 34243-2893

Phone

(941) 351-2221

Fax

(941) 761-6903

NPI assigned

Jun 10, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Mickaella Moreta, PHD

Title

President

Phone

(941) 351-2221

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419897600000",
    "number": "1790198463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 UNIVERSITY PKWY BLDG 1",
            "address_2": "SUITE 203",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342432893",
            "telephone_number": "941-351-2221",
            "fax_number": "941-761-6903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 UNIVERSITY PKWY BLDG 1",
            "address_2": "SUITE 203",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342432893",
            "telephone_number": "941-351-2221",
            "fax_number": "941-761-6903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICKAELLA MORETA CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-10",
        "last_updated": "2014-12-30",
        "status": "A",
        "authorized_official_last_name": "MORETA",
        "authorized_official_first_name": "MICKAELLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-351-2221",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PPY185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Lynn Michaels, LMHC, CEAP
• Linda Michailidis, CRNA
• Madeline Noel Michaud, FNP-C
• Devlin Michel
• Lisa Marie Michel, D.C.
• Annie Lee Mickelson, D.C.
• Connie D Micklavzina, MD
• Scott A Middleton, DMD, MD
• Midnight Pass Chiropractic
• Midtown Diagnostic LLC

• Clinical Psychologist in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2014; 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.