NPIMap

Organization Active NPI

Wellness Psychological Services PLLC

  • Counseling Psychologist
  • Tampa, FL
National Provider Identifier
1154794881
Registry record updated Nov 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
PY8451 Issued in FL
Legal business name
WELLNESS PSYCHOLOGICAL SERVICES PLLC
Practice address
205 S Hoover Blvd
Suite 204
Tampa, FL 33609-3500
Phone
(813) 563-1155
NPI assigned
Nov 3, 2015
Last updated
Nov 3, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2015

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

Authorized official

Name
Brittany Carswell, PH.D.NPI 1447560008
Title
Licensed Psychologist
Phone
(813) 563-1155

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X PY8451 FL Primary

Addresses

Primary practice location

205 S Hoover Blvd
Suite 204
Tampa, FL 33609-3500

Mailing address

205 S Hoover Blvd
Suite 204
Tampa, FL 33609-3500
Phone (813) 563-1155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160223001454 FL Part B Supplier - Clinic/Group Practice 4587969977 Receives reassigned benefits from 17 practitioners
Practice locations: Tampa, FL; Saint Petersburg, FL

National Provider Directory

National Provider Directory

Locations

3637 4th St N
Ste 390
St Petersburg, FL 33704
Phone (727) 310-5520

205 S Hoover Blvd
Ste 202
Tampa, FL 33609
Phone (813) 563-1155

205 S Hoover Blvd
Ste 204
Tampa, FL 33609
Phone (813) 376-9700

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1446508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446508800000",
    "number": "1154794881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 S HOOVER BLVD",
            "address_2": "SUITE 204",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336093500",
            "telephone_number": "813-563-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 S HOOVER BLVD",
            "address_2": "SUITE 204",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336093500",
            "telephone_number": "813-563-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS PSYCHOLOGICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-03",
        "last_updated": "2015-11-03",
        "status": "A",
        "authorized_official_last_name": "CARSWELL",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "813-563-1155",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "FL",
            "license": "PY8451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.