Advanced Psychiatry, P.a.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME88085 Issued in FL

Legal business name

ADVANCED PSYCHIATRY, P.A.

Practice address

2623 McCormick Dr
Suite 102
Clearwater, FL 33759-1046

Phone

(727) 723-0779

Fax

(727) 723-0770

NPI assigned

Feb 12, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Naakesh A Dewan, M.D.

Title

Owner

Phone

(727) 723-0779

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Tara Trinrud Augustine, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • St Petersburg, FL
  • NPI 1235468356
  NPD (past)
• Joanne Teresa Donnell, A.R.N.P. , PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Homestead, FL
  • NPI 1780874792
  NPD (past)
• Mona McGregor, LMHC

  • Mental Health Counselor
  • Clearwater, FL
  • NPI 1548442429
  NPD (past)

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184765018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2623 MCCORMICK DR",
            "address_2": "SUITE 102",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337591046",
            "telephone_number": "727-723-0779",
            "fax_number": "727-723-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2623 MCCORMICK DR",
            "address_2": "SUITE 102",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337591046",
            "telephone_number": "727-723-0779",
            "fax_number": "727-723-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PSYCHIATRY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEWAN",
        "authorized_official_first_name": "NAAKESH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-723-0779",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME88085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Clearwater, FL
• Providers in Clearwater, FL by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.