William J Kuzbyt, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY6646 Issued in FL

Practice address

4061 Bonita Beach Rd
Ste 105
Bonita Springs, FL 34134-4073

Phone

(239) 221-3399

Fax

(239) 300-2759

NPI assigned

Aug 24, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527033600000",
    "number": "1982697199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4061 BONITA BEACH RD",
            "address_2": "STE 105",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341344073",
            "telephone_number": "352-793-5900",
            "fax_number": "352-793-8050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4061 BONITA BEACH RD",
            "address_2": "STE 105",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341344073",
            "telephone_number": "239-221-3399",
            "fax_number": "239-300-2759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUZBYT",
        "first_name": "WILLIAM",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2018-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY6646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "73060",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Athina Lynn Kyritsis, M.D.
• Laboratory Corporation of America
• Marilyn Suero Laconsay
• Leonard A Lado, MD

• Psychologist in Bonita Springs, FL
• Providers in Bonita Springs, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2018; 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.