Brandon Psychiatry and Counseling

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW5979 Issued in FL

Legal business name

BRANDON PSYCHIATRY AND COUNSELING

Practice address

401 N Parsons Ave
Suite 107 a
Brandon, FL 33510-4538

Phone

(813) 967-1376

Fax

(813) 681-5958

NPI assigned

Jun 19, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Elena Anna Spanos, M.S.W.

Title

President

Phone

(813) 967-1376

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340323200000",
    "number": "1174886600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 N PARSONS AVE",
            "address_2": "SUITE 107 A",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335104538",
            "telephone_number": "813-967-1376",
            "fax_number": "813-681-5958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N PARSONS AVE",
            "address_2": "SUITE 107 A",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335104538",
            "telephone_number": "813-967-1376",
            "fax_number": "813-681-5958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDON PSYCHIATRY AND COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-19",
        "last_updated": "2012-06-22",
        "status": "A",
        "authorized_official_last_name": "SPANOS",
        "authorized_official_first_name": "ELENA",
        "authorized_official_middle_name": "ANNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-967-1376",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S.W."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW5979",
            "primary": true
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "FL",
            "license": "BK4208016",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "FL",
            "license": "47310",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Brandon, FL
• Providers in Brandon, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2012; 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.