Active NPI
Steven Carlsson, PSYD
- Clinical Psychologist
- Bradenton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 11684
- Practice address
- 231 Sun Isle Cir Unit 308
Bradenton, FL 34208-2728 - Phone
- (407) 687-0678
- NPI assigned
- Dec 14, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 11684 | FL | Primary |
Addresses
Primary practice location
231 Sun Isle Cir Unit 308
Bradenton, FL 34208-2728
Mailing address
231 Sun Isle Cir Unit 308
Bradenton, FL 34208-2728
Phone (407) 687-0678
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Nova Southeastern College of Osteo Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1090 S Tamiami TRL
Sarasota, FL 34236-9116
Phone (941) 363-0878
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11684 | FL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Behavioral Care of North Carolina, P.C. | Current | Accepting new patients | |
| Optum Behavioral Care of North Carolina, PC | Current | Accepting new patients |
Locations
155 E Blue Heron Blvd
Ste 403
Riviera Beach, FL 33404
Phone (561) 468-2112
1090 Tamiami Trl
Sarasota, FL 34236
Phone 94136308782005
4700 N Habana Ave
Ste 703
Tampa, FL 33614
Phone (813) 678-2373
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Counseling Psychologist
- Sarasota, FL
- NPI 1033984448
-
- Clinical Social Worker
- Gulfport, MS
- NPI 1861371718
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670976000000",
"number": "1124730825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "231 SUN ISLE CIR UNIT 308",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342082728",
"telephone_number": "407-687-0678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "231 SUN ISLE CIR UNIT 308",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342082728",
"telephone_number": "407-687-0678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLSSON",
"first_name": "STEVEN",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-12-14",
"last_updated": "2022-12-14",
"certification_date": "2022-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "11684",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.