Active NPI
Ralph Christopher Votolato, PSY. D.
- Clinical Psychologist
- Fort Myers, FL
National Provider Identifier
1922034545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY 7220
- Practice address
- 13880 Shell Point Plaza
Suite 110
Fort Myers, FL 33908-3504 - Phone
- (239) 466-1111
- Fax
- (239) 454-2111
- NPI assigned
- Jun 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY 7220 | FL | Primary |
Addresses
Primary practice location
13880 Shell Point Plaza
Suite 110
Fort Myers, FL 33908-3504
Mailing address
13880 Shell Point Plaza
Suite 110
Fort Myers, FL 33908-3504
Phone (239) 454-2146
Other practice location 1
15051 Shell Point Blvd
Fort Myers, FL 33908-1639
Phone (239) 454-2146
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| K7309 | Other | FL | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY 7220 | FL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrative Health Psychology PA | Clinical | Past | Accepting new patients |
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.
-
- Clinical Psychologist
- Oviedo, FL
- NPI 1457353930
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644796800000",
"number": "1922034545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13880 SHELL POINT PLAZA",
"address_2": "SUITE 110",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339083504",
"telephone_number": "239-454-2146",
"fax_number": "239-454-2111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13880 SHELL POINT PLAZA",
"address_2": "SUITE 110",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339083504",
"telephone_number": "239-466-1111",
"fax_number": "239-454-2111"
}
],
"practiceLocations": [
{
"address_1": "15051 Shell Point Blvd",
"address_purpose": "LOCATION",
"city": "Fort Myers",
"state": "FL",
"postal_code": "339081639",
"country_code": "US",
"telephone_number": "239-454-2146",
"fax_number": "239-454-2111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VOTOLATO",
"first_name": "RALPH",
"middle_name": "CHRISTOPHER",
"name_prefix": "Dr.",
"credential": "PSY. D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-24",
"last_updated": "2022-02-14",
"certification_date": "2022-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY 7220",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "K7309",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; 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.