Treasure Coast Psychology, Inc.

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

PY 9495 Issued in FL

Legal business name

TREASURE COAST PSYCHOLOGY, INC.

Practice address

819 SW Federal Hwy Ste 200B
Stuart, FL 34994-2952

Phone

(561) 531-8356

NPI assigned

Apr 21, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Jimmy L Middlebrook, PH.D.

Title

President

Phone

(561) 531-8356

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1461196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461196800000",
    "number": "1134573512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 SW FEDERAL HWY STE 200B",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 SW FEDERAL HWY STE 200B",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942952",
            "telephone_number": "561-531-8356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREASURE COAST PSYCHOLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-21",
        "last_updated": "2016-04-21",
        "status": "A",
        "authorized_official_last_name": "MIDDLEBROOK",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-531-8356",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "FL",
            "license": "PY 9495",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "FL",
            "license": "PY 9495",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Treasure Coast Periodontics, PA
• Treasure Coast Physical Medicine, LLC
• Treasure Coast Primary Care, PA
• Treasure Coast Psychiatric Services, P.a.
• Treasure Coast Psychiatry, LLC
• Treasure Coast Radiation Oncology PA
• Treasure Coast Recovery, LLC
• Treasure Coast Speech and Language Services LLC
• Treasure Coast Spine Institute, Inc.
• Treasure Coast Spine Institute, LLC

• Adult Mental Health Clinic/Center in Stuart, FL
• Providers in Stuart, FL by specialty
• Adult Mental Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2016; 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.