DR. HOMER E. FOUTY JR. (NPI# 1891732632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891732632 |
| Entity Type | Individual |
| Full Name | DR. HOMER E. FOUTY JR. |
| Credential | PH.D. |
| Practice Address |
301 Memorial Medical Pkwy Daytona Beach FL 32117-5167 |
| Mailing Address |
361 Collins St Ormond Beach FL 32174-6906 |
| Practice Telephone | 3862311000 |
| Mailing Telephone | 3866829612 |
| Mailing Fax Number | 3866151022 |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2018-03-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103G00000X | Clinical Neuropsychologist | PY5097 | FL | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY5097 | FL | Behavioral Health & Social Service Providers |
| Street Address |
301 MEMORIAL MEDICAL PKWY |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32117-5167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972588788 | Kathleen Ann Williams | Internal Medicine | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | 2005-12-14 |
| 1790385029 | James Edward Collie | Nurse Practitioner | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | 2020-10-27 |
| 1568077501 | Christian H Schadt | Nurse Practitioner | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | 2020-09-15 |
| 1982220620 | Olatoun Okediji | Social Worker | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | 2020-06-18 |
| 1962038554 | Maria Clea Dulay | Physical Therapist | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | 2020-03-16 |
| 1659907244 | Lisa Wisniewski | Physical Therapist | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | 2020-03-16 |
| 1386287506 | Kristin Warner | Registered Nurse | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | 2019-10-21 |
| 1841832797 | Morgan Nicole Miles | Hospitalist | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | 2019-10-11 |
| 1508329780 | Samantha Snowden | Nurse Practitioner | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | 2019-04-13 |
| 1114489812 | Lindsay Schneider | Physician Assistant | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | 2019-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992350409 | Erin Selfridge | Pharmacist | 1500 Beville Rd #300, Daytona Beach, FL 32117 | 2019-08-02 |
| 1881185494 | Wellspring Health, LLC | Chiropractor | 701 Ridgewood Ave, Holly Hills, FL 32117 | 2018-05-21 |
| 1780172791 | L & L Db, LLC | Clinic/Center | 1540 Cornerstone Blvd, Suite 100, Daytona Beach, FL 32117 | 2018-04-25 |
| 1154837789 | Brittany Nikolow | Nurse Practitioner | 1717 N. Clyde Morris, Daytona Beach, FL 32117 | 2017-12-19 |
| 1205356946 | Alejandro Andre Pabon Rodriguez | Nurse Anesthetist, Certified Registered | Florida Hospital Memorial Medical Center, 301 Memorial Medical Parkway, Daytona Beach, FL 32117 | 2017-06-23 |
| 1316492135 | Ann Van Herck | Physical Therapist | 1901 Mason Ave Ste 105, Daytona Beach, FL 32117 | 2016-08-22 |
| 1952784779 | Kathryn Brenna Copley | Nurse Practitioner | 1890 Lpga Blvd., Daytona Beach, FL 32117 | 2015-06-30 |
| 1053719559 | Alicia Graham | Case Manager/Care Coordinator | 1570 Megan Bay Circle, Holly Hill, FL 32117 | 2014-12-15 |
| 1578974440 | Halifax Senior Care Inc | Clinic/Center | 1515 Ridgewood Ave, Suite B, Holly Hill, FL 32117 | 2014-05-14 |
| 1013345883 | Kist Alf, Inc | Assisted Living Facility | 1516 Carmen Avenue, Daytona Beach, FL 32117 | 2013-10-14 |
| Find all providers in zip 32117 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609430388 | Convenient Care and Assessment LLC | Psychologist | 2407 S Peninsula Dr, Daytona Beach, FL 32118-5412 | 2019-04-28 |
| 1114123452 | John Jeffrey Oatley | Psychologist | 402 N Halifax Ave, Daytona Beach, FL 32118-4016 | 2007-06-25 |
| 1295789071 | Gail H. Nelson | Psychologist | 119 S Palmetto Ave, Suite 214, Daytona Beach, FL 32114-4387 | 2006-05-19 |
| 1811445554 | Tracii Kunkel | Psychologist | 551 National Health Care Dr, Daytona Beach, FL 32114-1495 | 2016-09-12 |
| 1598156028 | Stacey Polott | Psychologist | 1821 Business Park Blvd, Daytona Beach, FL 32114-1230 | 2015-02-05 |
| 1902237266 | Eric Neumaier | Psychologist | 551 National Health Care Dr, Daytona Beach, FL 32114-1495 | 2013-12-11 |
| 1558791087 | Manjot Dhooper Leafgreen | Psychologist | 1821 Business Park Blvd, Daytona Beach, FL 32114-1230 | 2013-11-19 |
| 1215289970 | Desiree Lorraine King | Psychologist | 1821 Business Park Blvd, Daytona Beach, FL 32114-1230 | 2012-10-04 |
| 1932293842 | Delwin L Pitzer Pswd Pa | Psychologist | 6 Fountainebleau Cir, Daytona Beach, FL 32118-4008 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336740224 | North Florida Collaborative Therapy | Psychologist | 9652 Morgan Creek Ct, Jacksonville, FL 32222-5808 | 2020-11-05 |
| 1922607381 | Michelle Mcnally | Psychologist | 6945 Halton Park Ln, Coconut Creek, FL 33073-2170 | 2020-10-18 |
| 1427665322 | Salubrious Psychological Services | Psychologist | 865 Nw 208th Cir, Pembroke Pines, FL 33029-1908 | 2020-09-25 |
| 1396351979 | Daniela Oliveira De Medeiros | Psychologist | 111 Majorca Ave # B, Coral Gables, FL 33134-4508 | 2020-09-19 |
| 1235744327 | Lisa Stewart | Psychologist | 13000 Bruce B Downs Blvd Bldg 68, Tampa, FL 33612-4745 | 2020-09-15 |
| 1265047047 | Anissa York | Psychologist | 6760 Congress Ave Apt 203, Boca Raton, FL 33487-1242 | 2020-09-09 |
| 1154935781 | Caressa Alice Slocum | Psychologist | 840 Dr M.l.k. Jr St N, St. Petersburg, FL 33705 | 2020-09-01 |
| 1497365399 | Julia L Sheffler | Psychologist | 1126b Lee Ave, Tallahassee, FL 32303-6508 | 2020-08-05 |
| 1801413315 | Steven David Macchione | Psychologist | 328 Nw 97th Ave, Plantation, FL 33324-7068 | 2020-06-30 |
| 1578180154 | Lory Jean Reyes | Psychologist | 1180 N Federal Hwy Ph 1608, Fort Lauderdale, FL 33304-1470 | 2020-06-30 |
| Find all providers with the same taxonomy | ||||
| City | DAYTONA BEACH |
| Zip Code | 32117 |
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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.