Organization Active NPI

Dr Constance Delgiudice PLLC

  • Mental Health Counselor
  • Stuart, FL
National Provider Identifier
1902149719
Registry record updated Mar 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH9049 Issued in FL
Legal business name
DR CONSTANCE DELGIUDICE PLLC
Practice address
2440 SE Federal Hwy
Stuart, FL 34994-4531
Phone
(772) 631-6138
Fax
(772) 221-3192
NPI assigned
Mar 29, 2013
Last updated
Mar 29, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2013

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

Authorized official

Name
Dr. Constance A Delgiudice, LMHCNPI 1528281243
Title
Licensed Mental Health Counselor
Phone
(772) 631-6138

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH9049 FL Primary

Addresses

Primary practice location

2440 SE Federal Hwy
Stuart, FL 34994-4531

Mailing address

2440 SE Federal Hwy
Stuart, FL 34994-4531
Phone (772) 631-6138

Other identifiers 1

IdentifierTypeStateIssuer
001414800MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1364515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364515200000",
    "number": "1902149719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 SE FEDERAL HWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349944531",
            "telephone_number": "772-631-6138",
            "fax_number": "772-221-3192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 SE FEDERAL HWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349944531",
            "telephone_number": "772-631-6138",
            "fax_number": "772-221-3192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR CONSTANCE DELGIUDICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-29",
        "last_updated": "2013-03-29",
        "status": "A",
        "authorized_official_last_name": "DELGIUDICE",
        "authorized_official_first_name": "CONSTANCE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "LICENSED MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "772-631-6138",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH9049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001414800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2013; 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.