Active NPI
Audra Walsh, PHD, LLC
- Clinical Child & Adolescent Psychologist
- St Petersburg, FL
National Provider Identifier
1073028734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- PY9148
- Legal business name
- AUDRA WALSH, PHD, LLC
- Practice address
- 1039 Park St N
St Petersburg, FL 33710-4317 - Phone
- (727) 599-3624
- NPI assigned
- Dec 4, 2017
- Last updated
- Oct 15, 2026
- 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. Audra Walsh, PHD
- Title
- Licensed Psychologist
- Phone
- (727) 599-3624
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | PY9751 | FL | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | PY9148 | FL | Primary |
Addresses
Primary practice location
1039 Park St N
St Petersburg, FL 33710-4317
Mailing address
1039 Park St N
St Petersburg, FL 33710-4317
Phone (727) 599-3624
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477710416 | Medicaid | FL | |
| 1205249752 | Medicaid | FL |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512345600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1792022400000",
"number": "1073028734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1039 PARK ST N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337104317",
"telephone_number": "727-599-3624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1039 PARK ST N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337104317",
"telephone_number": "727-599-3624"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AUDRA WALSH, PHD, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-12-04",
"last_updated": "2026-10-15",
"certification_date": "2026-10-15",
"status": "A",
"authorized_official_last_name": "WALSH",
"authorized_official_first_name": "AUDRA",
"authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
"authorized_official_telephone_number": "727-599-3624",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "FL",
"license": "PY9751",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "FL",
"license": "PY9148",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1477710416",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1205249752",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
- Amy Atkins, M.S., CCC-SLP
- Madison Atkinson, LCSW
- Atlantic Care Home Health St Pete LLC (Atlantic Care Services)
- Atlantis Clinic PA
- Atul Kshatri MD PA (Pain Medicine Palliative Care)
- Juliet Fleece Auer, MASTERS
- Ana Paula Auf Dem Kampe, PHARM.D.
- Jennifer August
- Tara Trinrud Augustine, ARNP
- Anna Marie Auletta, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.