Organization Active NPI

My Therapy Partner, Inc

  • Clinical Psychologist
  • Milton, FL
National Provider Identifier
1063282267
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
MY THERAPY PARTNER, INC
Practice address
6196 Clear Creek Road
Milton, FL 32570
Phone
(866) 441-6002
NPI assigned
Jan 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Authorized official

Name
Dr. Paula Maness, PSY.D.NPI 1437312097
Title
Owner
Phone
(866) 441-6002

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

6196 Clear Creek Road
Milton, FL 32570

Mailing address

6223 Highway 90 Ste 282
Milton, FL 32570-1705
Phone (866) 441-6002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240119001769 FL Part B Supplier - Clinic/Group Practice 9638521164 Receives reassigned benefits from 1 practitioner
Practice locations: Milton, FL

National Provider Directory

National Provider Directory

Locations

6223 Highway 90
Milton, FL 32570
Phone (619) 251-1818

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704672000000",
    "number": "1063282267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6223 HIGHWAY 90 STE 282",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325701705",
            "telephone_number": "866-441-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6196 CLEAR CREEK ROAD",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "32570",
            "telephone_number": "866-441-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY THERAPY PARTNER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-08",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-06",
        "status": "A",
        "authorized_official_last_name": "MANESS",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "866-441-6002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.