Organization Active NPI

Steven S. Minter, Psy.D., LLC

  • Adult Mental Health Clinic/Center
  • Plant City, FL
National Provider Identifier
1174872584
Registry record updated Aug 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
PY8553 Issued in FL
Legal business name
STEVEN S. MINTER, PSY.D., LLC
Practice address
607 S Alexander St
Suite 104
Plant City, FL 33563-5053
Phone
(813) 385-7041
Fax
(813) 423-6568
NPI assigned
Aug 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2012

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

Authorized official

Name
Dr. Steven Shelby Minter, PSY.D.NPI 1407102346
Title
Managing Member
Phone
(813) 385-7041

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
Adult Mental Health Clinic/Center 261QM0850X PY8553 FL Primary

Addresses

Primary practice location

607 S Alexander St
Suite 104
Plant City, FL 33563-5053

Mailing address

607 S Alexander St
Suite 104
Plant City, FL 33563-5053
Phone (813) 385-7041

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120926000111 FL Part B Supplier - Clinic/Group Practice 0446409098 Receives reassigned benefits from 2 practitioners
Practice locations: Plant City, FL

National Provider Directory

National Provider Directory

Locations

607 S Alexander St
Ste 104
Plant City, FL 33563
Phone (813) 385-7041

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1346284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346284800000",
    "number": "1174872584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 S ALEXANDER ST",
            "address_2": "SUITE 104",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335635053",
            "telephone_number": "813-385-7041",
            "fax_number": "813-423-6568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 S ALEXANDER ST",
            "address_2": "SUITE 104",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335635053",
            "telephone_number": "813-385-7041",
            "fax_number": "813-423-6568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN S. MINTER, PSY.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-30",
        "last_updated": "2012-08-30",
        "status": "A",
        "authorized_official_last_name": "MINTER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "SHELBY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "813-385-7041",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "FL",
            "license": "PY8553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plant City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; 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.