Gulf Coast Psychiatry PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

GULF COAST PSYCHIATRY PLLC

Practice address

1515 22ND Ave N
St Petersburg, FL 33704-3113

Phone

(727) 322-4227

NPI assigned

Aug 24, 2020

Organization subpart

No

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

Authorized official

Name

Jason Eric PatelNPI 1932581055

Title

Authorized Member

Phone

(727) 203-5035

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jason Eric Patel, M.D.

  • Psychiatry Physician
  • St Petersburg, FL
  • NPI 1932581055
  Medicare reassignment NPD Authorized official
• Robertha Charles Compere, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Tampa, FL
  • NPI 1346967460
  Medicare reassignment NPD

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

{
    "created_epoch": "1598227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707264000000",
    "number": "1033722780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13343",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337333343",
            "telephone_number": "727-203-5035",
            "fax_number": "727-205-5447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 22ND AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337043113",
            "telephone_number": "727-322-4227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-24",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "AUTHORIZED MEMBER",
        "authorized_official_telephone_number": "727-203-5035"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gulf Aviation Services, LLC
• Gulf Breeze Home Health, Inc.
• Gulf Coast Family Wellness LLC
• Gulf Coast Internist, LLC.
• Gulf Coast Jewish Family Services
• Gulf-to-Bay Anesthesiology Associates LLC
• Gulf-to-Bay Anesthesiology Associates LLC
• Gulfcoast Anesthesia Partners LLP
• Gulfcoast Family Counseling
• Gulfcoast Medical &Geriatric Care Inc

• Psychiatry Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.