Organization Active NPI

S.M.I.L.E. Psychology and Associates, LLC

  • Community/Behavioral Health Agency
  • St Petersburg, FL
National Provider Identifier
1083002703
Registry record updated Jan 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MH10595 Issued in FL
Legal business name
S.M.I.L.E. PSYCHOLOGY AND ASSOCIATES, LLC
Practice address
3831 Tyrone Blvd N Ste 201E
St Petersburg, FL 33709-4114
Phone
(727) 569-6305
NPI assigned
Jan 5, 2015
Last updated
Jan 2, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2019

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

Authorized official

Name
Dr. Carleah G East, PHDNPI 1063985091
Title
Ceo/ Clinical Psychotherapist
Phone
(727) 569-6305

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
Community/Behavioral Health Agency 251S00000X MH10595 FL Primary

Addresses

Primary practice location

3831 Tyrone Blvd N Ste 201E
St Petersburg, FL 33709-4114

Mailing address

3831 Tyrone Blvd N Ste 201E
St Petersburg, FL 33709-4114
Phone (727) 569-6305

National Provider Directory

National Provider Directory

Locations

3831 Tyrone Blvd N
Ste 201E
St Petersburg, FL 33709
Phone (727) 308-6902

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1420416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546387200000",
    "number": "1083002703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3831 TYRONE BLVD N STE 201E",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337094114",
            "telephone_number": "727-569-6305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3831 TYRONE BLVD N STE 201E",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337094114",
            "telephone_number": "727-569-6305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S.M.I.L.E. PSYCHOLOGY AND ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-05",
        "last_updated": "2019-01-02",
        "status": "A",
        "authorized_official_last_name": "EAST",
        "authorized_official_first_name": "CARLEAH",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO/ CLINICAL PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "727-569-6305",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "MH10595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.