Active NPI
Paul Tritsos Assessments & Counseling Services,LLC
- Clinical Psychologist
- Panama City, FL
National Provider Identifier
1093734964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY6921
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 092500653 | Other | FL | TRICARE |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Mental Health Counselor
- Panama City, FL
- NPI 1780823708
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.