Amber Popovitz-Gale, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY.10793 Issued in FL

Practice address

2454 E Michigan St Ste 110
Orlando, FL 32806-5059

Phone

(863) 591-6556

Fax

(312) 616-8112

NPI assigned

Sep 21, 2016

Last updated

Jun 27, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Amber Popovitz Former name

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Central Florida Health Care, Inc.

  dba Central Florida Health Care Frostproof

  • Federally Qualified Health Center (FQHC)
  • Frostproof, FL
  • NPI 1467449660
  Medicare reassignment NPD
• Gale Community Services L.L.C.

  • Psychologist
  • Orlando, FL
  • NPI 1265113237
  NPD Authorized official
• Central Florida Health Care Inc

  • Federally Qualified Health Center (FQHC)
  • Lakeland, FL
  • NPI 1033605613
  NPD
• Central Florida Health Care, Inc

  • Federally Qualified Health Center (FQHC)
  • Bartow, FL
  • NPI 1811796469
  NPD
• Nutrition Ignition LLC

  • Registered Dietitian
  • Fernandina, FL
  • NPI 1851039333
  NPD
• Central Florida Health Care, Inc

  • Federally Qualified Health Center (FQHC)
  • Bartow, FL
  • NPI 1407615826
  NPD (past)

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

{
    "created_epoch": "1474416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1881142644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 LAKE ELLENOR RD",
            "address_2": "SUITE 151 #1271",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32809",
            "telephone_number": "402-369-4835",
            "fax_number": "312-616-8112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2454 E MICHIGAN ST STE 110",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328065059",
            "telephone_number": "863-591-6556",
            "fax_number": "312-616-8112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "244 Avenue D SW",
            "address_purpose": "LOCATION",
            "city": "Winter Haven",
            "state": "FL",
            "postal_code": "338803423",
            "country_code": "US",
            "telephone_number": "866-234-8534",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POPOVITZ-GALE",
        "first_name": "AMBER",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-21",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY10793",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY.10793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "POPOVITZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kathleen Margaret O'Connell Pope, M.D.
• Lauren Popeck, RD
• Delyne Klein Popkin, CRNA
• Veronica Sikka Popli, MD
• Jessica Blair Popov, LMHC
• Olivia Poppen
• Rodrigo Porciuncula Jacobucci, MD
• Jenna Porco
• Jessica Marie Porco
• Kristian Marie Porco, MSOTR/L

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.