DR. LAMAR J INGULLI PSYD NPI 1124262654

NPI Information

NPI: 1124262654
Provider Name: DR. LAMAR J INGULLI, PSYD
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
2919 W SWANN AVE STE 201
TAMPA, FL
ZIP 33609
Phone: (813) 381-5200
Get Directions

DR. Lamar J Ingulli, PSYD is a clinical neuropsychologist in Tampa, FL with 17 years of experience. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. DR. Lamar J Ingulli, PSYD NPI is 1124262654. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2919 W SWANN AVE STE 201
TAMPA, FL
ZIP 33609-050
Phone: (813) 381-5200
Fax: (813) 381-5200

The NPI 1124262654 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 4/28/2009 and was last updated on 10/25/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103G00000X	Clinical Neuropsychologist		PY 8120	FLORIDA	No
2	103T00000X	Psychologist				No
3	103T00000X	Psychologist		PY8120	FLORIDA	No
4	103TC0700X	Psychologist	Clinical	8120	FLORIDA	No
5	103TC2200X	Psychologist	Clinical Child & Adolescent	PY8120	FLORIDA	No
6	103TF0200X	Psychologist	Forensic	PY8120	FLORIDA	No
7	103TM1800X	Psychologist	Intellectual and Developmental Disabilities	PY8120	FLORIDA	No
8	103G00000X	Clinical Neuropsychologist		PY8120	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	020601000	MEDICAID	FLORIDA
2	007293800	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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