Anna Patricia Schrack

Primary specialty

PsychologistTaxonomy code 103T00000X

License

10648 Issued in FL

Practice address

14310 N Dale Mabry Hwy Ste 150
Tampa, FL 33618-2050

Phone

(813) 969-3878

NPI assigned

Dec 2, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Dec 3, 2024 through Dec 3, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Moonriver Psychological Services LLC

  • Clinical Psychologist
  • Temple Terrace, FL
  • NPI 1306624341
  NPD Authorized official
• Rice Psychology Group, P.a.

  • Psychologist
  • Tampa, FL
  • NPI 1376832428
  NPD (past)

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

{
    "created_epoch": "1575244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575244800000",
    "number": "1194362897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14310 N DALE MABRY HWY STE 150",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14310 N DALE MABRY HWY STE 150",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182050",
            "telephone_number": "813-969-3878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHRACK",
        "first_name": "ANNA",
        "middle_name": "PATRICIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-02",
        "last_updated": "2019-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "10648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel Scholten, M.D.
• Joy Schoon
• Hannah Schorpp, PSYD
• Schott Behavioral Health Group LLC
• Leah Anna Schott
• Austin Schrag, LMFT, LPC
• Autumn Schramm, CO
• Zach Schramm
• Arielle Schreck
• Michelle Schreck, ARNP

• Psychologist in Tampa, FL
• Providers in Tampa, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.