DR. CASSIE JO LEUTZINGER (NPI# 1619906799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619906799 |
| Entity Type | Individual |
| Full Name | DR. CASSIE JO LEUTZINGER |
| Credential | PSY.D. |
| Practice Address |
3914 E State Road 64 Bradenton FL 34208-9059 |
| Mailing Address |
7294 Cloister Dr Apt 7 Sarasota FL 34231-8082 |
| Practice Telephone | 9417561200 |
| Practice Fax Number | 9417399358 |
| Mailing Telephone | 4025800516 |
| Mailing Fax Number | 9417615615 |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2018-12-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY9216 | FL | Behavioral Health & Social Service Providers |
| Street Address |
3914 E STATE ROAD 64 |
| City | BRADENTON |
| State | FL |
| Zip Code | 34208-9059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144874371 | Lauren Jean Amorello | Nurse Practitioner | 3914 E State Road 64, Bradenton, FL 34208-9059 | 2019-07-25 |
| 1497289110 | Coastal Senior Healthcare Inc | Family Medicine | 3914 E State Road 64, Bradenton, FL 34208-9059 | 2017-04-19 |
| 1770039372 | Kristi Cay Kita | Nurse Practitioner | 3914 E State Road 64, Bradenton, FL 34208-9059 | 2016-09-01 |
| 1659768950 | Gulfside Behavioral Care Np Inc | Nurse Practitioner | 3914 E State Road 64, Bradenton, FL 34208-9059 | 2015-04-24 |
| 1396010229 | Va Im | Nurse Practitioner | 3914 E State Road 64, Bradenton, FL 34208-9059 | 2012-03-09 |
| 1508151838 | Regina L Soderberg | Nurse Practitioner | 3914 E State Road 64, Bradenton, FL 34208-9059 | 2011-06-15 |
| 1023251352 | Stacy Lee Sauer | Nurse Practitioner | 3914 E State Road 64, Bradenton, FL 34208-9059 | 2009-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740880566 | Michael Gerard Kulikowski | Pharmacist | 6225 E Sr 64, Bradenton, FL 34208 | 2020-10-30 |
| 1104431964 | Genesis Carrillo | Pharmacist | 4210 E, Fl-64, Bradenton, FL 34208 | 2020-09-09 |
| 1962960146 | Elite Surgery Center, LLC | Plastic Surgery | 5301 4th Ave Circle E, Bradenton, FL 34208 | 2019-03-07 |
| 1740777101 | Chinelo Uche | Student in an Organized Health Care Education/Training Program | 206 2nd St. E, Brandenton, FL 34208 | 2018-04-20 |
| 1396240040 | Nicholas Guy Ross | Student in an Organized Health Care Education/Training Program | 206 2nd St E., Bradenton, FL 34208 | 2018-03-26 |
| 1881196566 | Pinnacle Dental, Inc | Dentist | 5220 4th Ave. Circle E., Bradenton, FL 34208 | 2018-03-08 |
| 1194240176 | Bradenton Community Acupuncture | Acupuncturist | 5245 Office Park Blvd Suite 103, Bradenton, FL 34208 | 2017-08-10 |
| 1316490147 | Loretta Michele Deloach | Counselor | 515 27th St. S., Ste. 3, Bradenton, FL 34208 | 2016-07-28 |
| 1730548934 | Elodie Chimuanya Epane Kamdem | Dentist | Bright Now Dentalst, 650, 3611 1st Street, Suiyr, Bradenton, FL 34208 | 2016-02-16 |
| 1215303920 | Lesley Ann White | Driver | 45 Palmwood, Bradenton, FL 34208 | 2015-08-17 |
| Find all providers in zip 34208 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881006310 | Bryant Psychological Services, Inc | Psychologist | 1923 Saint George Dr, Bradenton, FL 34208-1537 | 2014-06-02 |
| 1386943728 | Valerie A Valle | Psychologist | 5650 Bollettieir Blvd, Bradenton, FL 34210 | 2011-03-24 |
| 1558490987 | Robert J Greene | Psychologist | 5190 26th St W Ste F, Bradenton, FL 34207-2200 | 2007-03-02 |
| 1194889907 | Michael Barry Lipscomb | Psychologist | 12505 Cara Cara Loop, Bradenton, FL 34212-2949 | 2006-12-19 |
| 1073672333 | Debra K Carter | Psychologist | 4835 27th St West, Suite 125, Bradenton, FL 34207 | 2006-12-06 |
| 1336131945 | Jennie Lynne Robb | Psychologist | 9070 58th Drive East #102, Bradenton, FL 34202 | 2005-08-19 |
| 1174526578 | Mary Ann Clark | Psychologist | 300 Riverside Dr E, Ste 2000, Bradenton, FL 34208-1023 | 2005-05-31 |
| 1194294181 | Betsy Elsasser | Psychologist | 379 6th Ave W, Bradenton, FL 34205-8820 | 2018-11-19 |
| 1376098673 | Pamela Denison | Psychologist | 379 6th Ave W, Bradenton, FL 34205-8820 | 2016-08-17 |
| 1013359736 | Denise K. Gross, Psy.d., LLC | Psychologist | 6015 111th St E, Bradenton, FL 34211-9468 | 2013-07-23 |
| Find all providers in BRADENTON | ||||
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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.