DR. ANDREA VIVIANA PELLEGRINI


Address: 3589 Canopy Cir, Suite 190, Naples, FL 34120
Phone: 7866839811

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
FL STATE LICENSE PY9304 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
3200 Bailey Ln Ste 200, Naples, FL 341058523 2392628971 2392625903
3589 Canopy Cir, Suite 190, Naples, FL 34120 7866839811

Office Location

Street Address 3589 CANOPY CIR
SUITE 190
City NAPLES
State FL
Zip Code 34120

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1962789446 Arlene Esther Cowie Nurse Practitioner 8831 Immokalee Rd, Naples, FL 34120 2011-11-10
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Taxonomy Information

Taxonomy Code 103TH0100X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Health Service

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

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NPI Name Taxonomy Address Enumeration
1962019935 Michelle Johnson Psychologist 22513 Se 61st Ave, Hawthorne, FL 32640-3640 2020-09-24
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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
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Competitor

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City NAPLES
Zip Code 34120

Improve Information

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Dataset Information

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.

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