Putnam Psychotherapy

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH 5246 Issued in FL

Legal business name

PUTNAM PSYCHOTHERAPY

Practice address

918 Saint Johns Ave
Palatka, FL 32177-4650

Phone

(386) 385-3887

Fax

(386) 385-3922

NPI assigned

May 7, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Cindy Doreen Sharpe

Title

Office Manager

Phone

(386) 385-3887

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1399420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399420800000",
    "number": "1114337516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 SAINT JOHNS AVE",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321774650",
            "telephone_number": "386-385-3887",
            "fax_number": "386-385-3922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 SAINT JOHNS AVE",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321774650",
            "telephone_number": "386-385-3887",
            "fax_number": "386-385-3922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUTNAM PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-07",
        "last_updated": "2014-05-07",
        "status": "A",
        "authorized_official_last_name": "SHARPE",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "DOREEN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "386-385-3887",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 5246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Putnam Physician Practices LLC
• Putnam Physician Practices LLC
• Putnam Physician Practices, LLC
• Putnam Physician Practices, LLC
• Putnam Physicians Group LLC
• Putnam Pulmonary & Primary Care, PA
• Putnam Pulmonary & Primary Care, PA
• Putnam Radiation Oncology LLC
• Putnam Surgical Group, LLC
• Julie Mangum Pybas, RN

• Mental Health Counselor in Palatka, FL
• Providers in Palatka, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.