Nicole Agresto, Psychology P.a.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY9016 Issued in FL

Legal business name

NICOLE AGRESTO, PSYCHOLOGY P.A.

Practice address

2150 49TH St N Ste E
St Petersburg, FL 33710-5237

Phone

(727) 685-0934

Fax

(727) 279-4986

NPI assigned

Jan 18, 2018

Last updated

Feb 14, 2019By 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

Nicole Agresto, PSY DNPI 1629483698

Title

Owner

Phone

(727) 685-0934

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

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.

• Nicole Agresto, PSY.D,

  • Clinical Psychologist
  • St Petersburg, FL
  • NPI 1629483698
  NPD (past) Authorized official
• Allison Tarbox, PSY.D.

  • Clinical Psychologist
  • St Petersburg, FL
  • NPI 1629437017
  NPD (past)

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

{
    "created_epoch": "1516233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550102400000",
    "number": "1205344702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 49TH ST N STE E",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337105237",
            "telephone_number": "727-685-0934",
            "fax_number": "727-279-4986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 49TH ST N STE E",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337105237",
            "telephone_number": "727-685-0934",
            "fax_number": "727-279-4986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLE AGRESTO, PSYCHOLOGY P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-18",
        "last_updated": "2019-02-14",
        "status": "A",
        "authorized_official_last_name": "AGRESTO",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-685-0934",
        "authorized_official_credential": "PSY D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY9016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1629483698",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Kay Nichols, R.N.
• Karen Christine Nicholson, P.T.A.
• Noura Nickel, M.D.
• Madelyn M Nickerson, PA-C
• Michael Scott Nickerson, MS, ARNP-C, COHN-S
• Krissle Nicome, APRN
• Abigail Grace Niebrugge, BCABA
• Michael Louis Nieder, M.D.
• Michael Gene Niederbrach Jr.
• Regan Elizabeth Niemann

• Clinical Psychologist in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2019; 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.