Organization Active NPI

Paul Tritsos Assessments & Counseling Services,LLC

  • Clinical Psychologist
  • Panama City, FL
National Provider Identifier
1093734964
Registry record updated Feb 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY6921 Issued in FL
Legal business name
PAUL TRITSOS ASSESSMENTS & COUNSELING SERVICES,LLC
Practice address
2680 Chapman Dr
Panama City, FL 32405-4914
Phone
(850) 215-6230
Fax
(850) 215-6235
NPI assigned
Jul 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2014

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

Authorized official

Name
Dr. Paul Tritsos, PSYD
Title
Owner
Phone
(850) 215-6230

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PY6921 FL Primary

Addresses

Primary practice location

2680 Chapman Dr
Panama City, FL 32405-4914

Mailing address

PO Box 19135
Panama City Beach, FL 32417-1035
Phone (850) 215-6230

Other identifiers 1

IdentifierTypeStateIssuer
092500653OtherFLTRICARE

National Provider Directory

National Provider Directory

Locations

2680 Chapman Dr
Panama City, FL 32405
Phone (850) 215-6230

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": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391472000000",
    "number": "1093734964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19135",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324171035",
            "telephone_number": "850-215-6230",
            "fax_number": "850-215-6235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2680 CHAPMAN DR",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054914",
            "telephone_number": "850-215-6230",
            "fax_number": "850-215-6235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL TRITSOS ASSESSMENTS & COUNSELING SERVICES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2014-02-04",
        "status": "A",
        "authorized_official_last_name": "TRITSOS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-215-6230",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY6921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "092500653",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2014; 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.