DR. ANDREA VIVIANA PELLEGRINI (NPI# 1316250889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316250889 |
Entity Type | Individual |
Full Name | DR. ANDREA VIVIANA PELLEGRINI |
Credential | PSY.D. |
Practice Address |
3589 Canopy Cir Suite 190 Naples FL 34120 |
Mailing Address |
Po Box 8688 Naples FL 34101-8688 |
Practice Telephone | 7866839811 |
Mailing Telephone | 7866839811 |
Mailing Fax Number | 8003989787 |
Enumeration Date | 2010-07-26 |
Last Update Date | 2019-04-21 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 103TC0700X |
Psychologist Specialization: Clinical |
9304 | FL | Behavioral Health & Social Service Providers |
N | 103TC0700X |
Psychologist Specialization: Clinical |
33972 | TX | Behavioral Health & Social Service Providers |
Y | 103TH0100X |
Psychologist Specialization: Health Service |
PY9304 | FL | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | STATE LICENSE | PY9304 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
3200 Bailey Ln Ste 200, Naples, FL 341058523 | 2392628971 | 2392625903 |
3589 Canopy Cir, Suite 190, Naples, FL 34120 | 7866839811 |
Street Address |
3589 CANOPY CIR SUITE 190 |
City | NAPLES |
State | FL |
Zip Code | 34120 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134605025 | Holiday Cvs LLC | Pharmacy | 13400 Immokalee Rd, Naples, FL 34120 | 2018-07-14 |
1528571510 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 8921 Immokalee Rd, Naples, FL 34120 | 2017-11-13 |
1902315328 | Esther Pinter | Nurse Practitioner | 7709 Bristol Circle, Naples, FL 34120 | 2017-09-28 |
1265950166 | Aniledif Ayala Burger | Technician, Other | 2243 Grove Dr, Naples, FL 34120 | 2017-08-31 |
1831645431 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 13550 Immokalee Rd, Naples, FL 34120 | 2016-09-01 |
1568488476 | Karen L Hiester | Family Medicine | 15420 Collier Blvd, Naples, FL 34120 | 2006-07-14 |
1386147403 | Cvs Aoc Services, L.L.C. | Audiologist-Hearing Aid Fitter | 8831 Immokalee Rd, Naples, FL 34120 | 2018-03-15 |
1962789446 | Arlene Esther Cowie | Nurse Practitioner | 8831 Immokalee Rd, Naples, FL 34120 | 2011-11-10 |
1013247873 | Holiday Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 8831 Immokalee Rd, Naples, FL 34120 | 2009-12-30 |
1427219955 | Shawn Christopher Patterson | Emergency Medicine | 15420 Collier Blvd, Naples, FL 34120 | 2008-06-18 |
Find all providers in zip 34120 |
Taxonomy Code | 103TH0100X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Health Service |
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). |
Notes: Source: National Register of Health Service Providers in Psychology website http://www.nationalregister.org/about_NR.html [7/1/2006: modified title, added definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407419831 | Avp Assessment Services, LLC | Psychologist | 4851 Tamiami Trl N, Naples, FL 34103-3096 | 2019-04-22 |
1851339220 | Russell Masterson | Psychologist | 878 109th Ave N, Naples, FL 34108-1821 | 2006-06-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962019935 | Michelle Johnson | Psychologist | 22513 Se 61st Ave, Hawthorne, FL 32640-3640 | 2020-09-24 |
1538785837 | Change The Narrative Counseling LLC | Psychologist | 20417 Berrywood Ln, Tampa, FL 33647-3476 | 2020-06-23 |
1689210791 | Alexis Vaughn | Psychologist | 203 Ne Montana St, Lake City, FL 32055-2183 | 2019-11-24 |
1316581101 | Melissa Singleton | Psychologist | 4728 Lexington Ave, Jacksonville, FL 32210-3218 | 2019-11-05 |
1407408123 | R Ramos Inc. | Psychologist | 2285 St R 580, S-210, Clearwater, FL 33763-1111 | 2019-07-12 |
1215599766 | Stephanie Rita Mcdonough | Psychologist | 1600 Sw Archer Rd Fl Roomg901, Gainesville, FL 32610-3003 | 2019-07-05 |
1013573039 | Antionette Jarshawn Miller-maultsby | Psychologist | 4401 Will Scarlet Rd, Jacksonville, FL 32208-1154 | 2019-05-15 |
1376002063 | Lakeyta Nacole Givens | Psychologist | 514 Joan St, Macclenny, FL 32063-2618 | 2019-03-13 |
1558841684 | Kevin D Roberts | Psychologist | 20 First Street Apt 5, St. Augustine, FL 32084 | 2018-08-17 |
1295280428 | Psych Aid Corp | Psychologist | 1300 Nw 84th Ave, Doral, FL 33126-1500 | 2016-08-17 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.