Individual provider Active NPI

Louis Francis Damis, PH.D.

  • Clinical Psychologist
  • Oviedo, FL
National Provider Identifier
1831181817
Registry record updated Feb 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY 5233 Issued in FL
Practice address
2441 W Sr 426
Suite 1021
Oviedo, FL 32765-4515
Phone
(407) 706-0622
Fax
(407) 706-0623
NPI assigned
Aug 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY 5233 FL Primary
Forensic Psychologist 103TF0200X PY 5233 FL
Health Service Psychologist 103TH0100X PY 5233 FL

Addresses

Primary practice location

2441 W Sr 426
Suite 1021
Oviedo, FL 32765-4515

Mailing address

2441 W Sr 426
Suite 1021
Oviedo, FL 32765-4515
Phone (407) 706-0622

Other identifiers 1

IdentifierTypeStateIssuer
59757OtherFLBC/BS OF FLORIDA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040220000411 FL Practitioner - Psychologist Billing Independently 1456246123 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

846 Palmetto Ter
Oviedo, FL 32765-9464
Phone (407) 697-8584

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PY 5233FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Health Psychology PA Clinical CurrentSince Jan 1, 2005 Accepting new patients

Locations

2441 W State Road 426
Ste 1021
Oviedo, FL 32765
Phone (407) 706-0622

6001 Brick Ct
Ste 201
Winter Park, FL 32792
Phone (407) 671-1123

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": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360972800000",
    "number": "1831181817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2441 W SR 426",
            "address_2": "SUITE 1021",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327654515",
            "telephone_number": "407-706-0622",
            "fax_number": "407-706-0623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2441 W SR 426",
            "address_2": "SUITE 1021",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327654515",
            "telephone_number": "407-706-0622",
            "fax_number": "407-706-0623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMIS",
        "first_name": "LOUIS",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-17",
        "last_updated": "2013-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY 5233",
            "primary": true
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "FL",
            "license": "PY 5233",
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "FL",
            "license": "PY 5233",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF FLORIDA",
            "identifier": "59757",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oviedo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.