Organization Active NPI

Central Psychology

  • Clinical Psychologist
  • St Petersburg, FL
National Provider Identifier
1275789174
Registry record updated Aug 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY6234 Issued in FL
Legal business name
CENTRAL PSYCHOLOGY
Practice address
475 Central Ave
Suite 300 D
Saint Petersburg, FL 33701-3859
Phone
(727) 822-8900
Fax
(727) 822-8988
NPI assigned
Aug 11, 2008
Last updated
Aug 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2008

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

Authorized official

Name
Dr. Alexis R. Zubrod, PH.D.NPI 1477609394
Title
Psychologist
Phone
(727) 822-8900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY6234 FL Primary

Addresses

Primary practice location

475 Central Ave
Suite 300 D
Saint Petersburg, FL 33701-3859

Mailing address

3501 Coquina Key Dr SE
Saint Petersburg, FL 33705-4115
Phone (727) 822-5360

National Provider Directory

National Provider Directory

Locations

475 Central Ave
Ste 300D
St Petersburg, FL 33701
Phone (727) 822-8900

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1218412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218412800000",
    "number": "1275789174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 COQUINA KEY DR SE",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337054115",
            "telephone_number": "727-822-5360",
            "fax_number": "727-821-2097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 CENTRAL AVE",
            "address_2": "SUITE 300 D",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337013859",
            "telephone_number": "727-822-8900",
            "fax_number": "727-822-8988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL PSYCHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-11",
        "last_updated": "2008-08-11",
        "status": "A",
        "authorized_official_last_name": "ZUBROD",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "727-822-8900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY6234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2008; 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.