Emily Jane Futch, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY3966 Issued in FL

Practice address

5046 73Rd Ave
Ecp, PA
Pinellas Park, FL 33781-4350

Phone

(727) 541-5436

Fax

(727) 541-5484

NPI assigned

Dec 1, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kaly Psychological Services Inc.

  • Clinical Psychologist
  • Tampa, FL
  • NPI 1114023132
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003984832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5046 73RD AVE",
            "address_2": "ECP, PA",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337814350",
            "telephone_number": "727-541-5436",
            "fax_number": "727-541-5484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5046 73RD AVE",
            "address_2": "ECP, PA",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337814350",
            "telephone_number": "727-541-5436",
            "fax_number": "727-541-5484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUTCH",
        "first_name": "EMILY",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY3966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Free
• Freedom Farm of Tampa Bay and Therapy Center
• Patrice Elaine Fremlin
• Jodi Fuller, LMT
• Fun Behavioral Solutions LLC
• Lauren Elaine Futral
• G & H Pharmacy Inc.
• G Roger Dunkelberger DO LLC
• Gabrielle Swanson LLC
• Gahc4 Bayside FL TRS Sub, LLC

• Clinical Psychologist in Pinellas Park, FL
• Providers in Pinellas Park, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.