Individual provider Active NPI

Denise Lindsay-Blue, PH.D.

  • Clinical Psychologist
  • St Petersburg, FL
National Provider Identifier
1043590359
Registry record updated Jan 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY8464 Issued in FL
Practice address
970 Lake Carillon Dr
300
Saint Petersburg, FL 33716-1129
Phone
(727) 557-8410
Fax
(727) 522-2609
NPI assigned
Aug 18, 2011
Last updated
Jan 3, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH4178 FL
Clinical Psychologist 103TC0700X PY8464 FL Primary

Addresses

Primary practice location

970 Lake Carillon Dr
300
Saint Petersburg, FL 33716-1129

Mailing address

970 Lake Carillon Dr
300
Saint Petersburg, FL 33716-1129
Phone (727) 557-8410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MH4178FLMDMental Health Counselor
PY8464FLMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1313625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325548800000",
    "number": "1043590359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 LAKE CARILLON DR",
            "address_2": "300",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337161129",
            "telephone_number": "727-557-8410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 LAKE CARILLON DR",
            "address_2": "300",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337161129",
            "telephone_number": "727-557-8410",
            "fax_number": "727-522-2609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDSAY-BLUE",
        "first_name": "DENISE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-18",
        "last_updated": "2012-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH4178",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY8464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.