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CLINICAL PSYCHOLOGY ASSOCIATES OF TAMPA BAY INC NPI 1669506671


NPI Information

NPI: 1669506671
Provider Name: CLINICAL PSYCHOLOGY ASSOCIATES OF TAMPA BAY, INC
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

CLIA Number: 10D2040564

Address:
1210 MILLENNIUM PKWY
SUITE 1033
BRANDON, FL
ZIP 33511
Phone: (813) 657-0488
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CLINICAL PSYCHOLOGY ASSOCIATES OF TAMPA BAY, INC is a clinical psychologist in Brandon, FL. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. CLINICAL PSYCHOLOGY ASSOCIATES OF TAMPA BAY, INC NPI is 1669506671. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1210 MILLENNIUM PKWY
SUITE 1033
BRANDON, FL
ZIP 33511-896
Phone: (813) 657-0488

The provider's authorized official is Cherrolyn Catrece Smith .
The authorized official title is President and has the following contact phone number (813) 657-0488.

The CLIA number assigned to this NPI record is 10D2040564 - other - research with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/15/2007 and was last updated on 8/22/2020.


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
1103TC0700XPsychologistClinicalYes

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: 5/5/2024

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