Waylon A Carlisle, PH.D.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CPY0013010194 Issued in FL

Practice address

2302 Bell Shoals Rd
Brandon, FL 33511

Phone

(813) 684-3720

NPI assigned

Nov 1, 2007

Last updated

Nov 1, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Waylon A Carlisle Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Christian Counseling Center

  • Community/Behavioral Health Agency
  • Dover, FL
  • NPI 1033588447
  NPD (past) Authorized official

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

{
    "created_epoch": "1193875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193875200000",
    "number": "1255510707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13309 WALDEN SHEFFIELD RD",
            "city": "DOVER",
            "state": "FL",
            "postal_code": "335275547",
            "telephone_number": "813-684-3397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 BELL SHOALS RD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "33511",
            "telephone_number": "813-684-3720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLISLE",
        "first_name": "WAYLON",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-01",
        "last_updated": "2007-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "CPY0013010194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WAYLON",
            "last_name": "CARLISLE",
            "middle_name": "A",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Penny Lynne Carey, LPC, LMHC
• Tiara Carey, M.ED., BCBA
• Shannon Rachelle Carie, PA-C
• Caring Arms Home Care Services Inc
• Caring Heart Tampa, LLC
• Ashley Marie Carlson, AP, DOM
• Rachel Nicole Carlson, PA-C, ATC
• Matthew William Carman, M.D.
• Carmen Ramirez MD PA
• Esaleen Carmona

• Mental Health Counselor in Brandon, FL
• Providers in Brandon, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; 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.