CRUDUP PSYCHOLOGICAL SERVICES LLC NPI 1013405281

NPI Information

  • NPI: 1013405281
  • Provider Name: CRUDUP PSYCHOLOGICAL SERVICES LLC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Doing Business As: CRUDUP PSYCHOLOGICAL SERVICES
  • Address: 10001 CROSS CREEK BLVD
    TAMPA, FL
    ZIP 33647
  • Phone: (386) 243-9220

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NPI Details

CRUDUP PSYCHOLOGICAL SERVICES LLC is a mental health (including community mental health center) clinic center in Tampa, FL. CRUDUP PSYCHOLOGICAL SERVICES LLC NPI is 1013405281. The provider is registered as an organization entity type.
The provider Is Doing Business As Crudup Psychological Services.

The provider's business location address is:

10001 CROSS CREEK BLVD
TAMPA, FL
ZIP 33647-581
Phone: (386) 243-9220

The provider's authorized official is Bianca M. Crudup .
The authorized official title is Owner and has the following contact phone number (386) 243-9220.

The enumeration date for this NPI number is 4/24/2018 and was last updated on 6/16/2018.

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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)PY10135FLORIDAYes

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: 11/21/2025

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