Organization Active NPI

Heun Comprehensive Psychological Services, LLC

Doing business as Tampa Bay Psychology

  • Psychologist
  • Tampa, FL
National Provider Identifier
1265831804
Registry record updated Feb 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY8953 Issued in FL
Legal business name
HEUN COMPREHENSIVE PSYCHOLOGICAL SERVICES, LLC
Doing business as
Tampa Bay Psychology
Practice address
2102 W Platt St
Suite 106
Tampa, FL 33606-1769
Phone
(813) 343-0830
Fax
(813) 489-5469
NPI assigned
Aug 20, 2014
Last updated
Feb 15, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2016

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

Authorized official

Name
Dr. Shanna B. Heun, PH.D.
Title
Owner, Operator, Provider
Phone
(813) 343-0830

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY8953 FL Primary
Adult Development & Aging Psychologist 103TA0700X PY8953 FL
Clinical Psychologist 103TC0700X PY8953 FL
Counseling Psychologist 103TC1900X PY8953 FL
Clinical Child & Adolescent Psychologist 103TC2200X PY8953 FL

Addresses

Primary practice location

2102 W Platt St
Suite 106
Tampa, FL 33606-1769

Mailing address

2102 W Platt St
Suite 106
Tampa, FL 33606-1769
Phone (813) 343-0830

Other names 1

  • Tampa Bay Psychology Doing business as

National Provider Directory

National Provider Directory

Locations

2102 W Platt St
Ste 106
Tampa, FL 33606
Phone (813) 343-0830

NPI Registry JSON

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

{
    "created_epoch": "1408492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455494400000",
    "number": "1265831804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2102 W PLATT ST",
            "address_2": "SUITE 106",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336061769",
            "telephone_number": "813-343-0830",
            "fax_number": "813-489-5469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2102 W PLATT ST",
            "address_2": "SUITE 106",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336061769",
            "telephone_number": "813-343-0830",
            "fax_number": "813-489-5469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEUN COMPREHENSIVE PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-20",
        "last_updated": "2016-02-15",
        "status": "A",
        "authorized_official_last_name": "HEUN",
        "authorized_official_first_name": "SHANNA",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER, OPERATOR, PROVIDER",
        "authorized_official_telephone_number": "813-343-0830",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY8953",
            "primary": true
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "FL",
            "license": "PY8953",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY8953",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "FL",
            "license": "PY8953",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "FL",
            "license": "PY8953",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tampa Bay Psychology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2016; 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.