NPIMap

Organization Active NPI

Psychiatry and Psychotherapy Associates Corp

  • Clinical Social Worker
  • Largo, FL
National Provider Identifier
1275605693
Registry record updated Sep 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
PSYCHIATRY AND PSYCHOTHERAPY ASSOCIATES CORP
Practice address
10225 Ulmerton Rd
Suite 8-B
Largo, FL 33771-3538
Phone
(727) 586-0636
Fax
(727) 585-6287
NPI assigned
Nov 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2012

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

Authorized official

Name
Angela J Gibson, MSW
Title
LCSW
Phone
(727) 586-0636

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

10225 Ulmerton Rd
Suite 8-B
Largo, FL 33771-3538

Mailing address

10225 Ulmerton Rd
Suite 8-B
Largo, FL 33771-3538
Phone (727) 586-0636

National Provider Directory

National Provider Directory

Locations

5100 78th Ave N
Ste 7
Pinellas Park, FL 33781
Phone (727) 586-0636

6675 38th Ave N
St Petersburg, FL 33710
Phone (727) 586-0636

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348617600000",
    "number": "1275605693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10225 ULMERTON RD",
            "address_2": "SUITE 8-B",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337713538",
            "telephone_number": "727-586-0636",
            "fax_number": "727-585-6287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10225 ULMERTON RD",
            "address_2": "SUITE 8-B",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337713538",
            "telephone_number": "727-586-0636",
            "fax_number": "727-585-6287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHIATRY AND PSYCHOTHERAPY ASSOCIATES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2012-09-26",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "727-586-0636",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; 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.