Organization Active NPI

Dr Karen E. Kruger, PH D, LLC

  • Counseling Psychologist
  • Naples, FL
National Provider Identifier
1902351307
Registry record updated Aug 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
PY8414 Issued in FL
Legal business name
DR KAREN E. KRUGER, PH D, LLC
Practice address
2905 Inlet Cove LN W
Suite 300
Naples, FL 34120-7539
Phone
(239) 571-2578
NPI assigned
Aug 16, 2016
Last updated
Aug 16, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2016

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

Authorized official

Name
Jamieann M Delomba, BA
Title
Billing Specialest/Office Manager
Phone
(239) 571-2578

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X PY8414 FL Primary

Addresses

Primary practice location

2905 Inlet Cove LN W
Suite 300
Naples, FL 34120-7539

Mailing address

9180 Galleria CT
Suite 300
Naples, FL 34109-4384

Other identifiers 2

IdentifierTypeStateIssuer
593N0OtherFLBCBS OF FL
P01264499OtherFLRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

9180 Galleria Ct
Ste 300
Naples, FL 34109
Phone (239) 841-2010

Practitioners & affiliated clinicians

Practitioners 2

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": "1471305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471305600000",
    "number": "1902351307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9180 GALLERIA CT",
            "address_2": "SUITE 300",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341094384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 INLET COVE LN W",
            "address_2": "SUITE 300",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341207539",
            "telephone_number": "239-571-2578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR KAREN E. KRUGER, PH D, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-16",
        "last_updated": "2016-08-16",
        "status": "A",
        "authorized_official_last_name": "DELOMBA",
        "authorized_official_first_name": "JAMIEANN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BILLING SPECIALEST/OFFICE MANAGER",
        "authorized_official_telephone_number": "239-571-2578",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "FL",
            "license": "PY8414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL",
            "identifier": "593N0",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01264499",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2016; 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.