Active NPI
My Therapy Partner, Inc
- Clinical Psychologist
- Milton, FL
National Provider Identifier
1063282267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Paula Maness, PSY.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 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
National Provider Directory
National Provider DirectoryLocations
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.