Active NPI
Antoinette M Falk, MD
- Psychiatry Physician
- St Petersburg, FL
National Provider Identifier
1285724641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME58941
- Practice address
- 535 Central Ave Ste 316
St Petersburg, FL 33701-3703 - Phone
- (727) 526-6699
- Fax
- (866) 469-3880
- NPI assigned
- Oct 13, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | ME58941 | FL | Primary |
Addresses
Primary practice location
535 Central Ave Ste 316
St Petersburg, FL 33701-3703
Mailing address
941 Live Oak Ave NE
St Petersburg, FL 33703-3178
Phone (727) 526-6699
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12515 | Other | FL | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME58941 | FL | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Donna K Dempsey Arnp PA | Past | Accepting new patients | |
| Boley Centers, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- St Petersburg, FL
- NPI 1194838839
-
- Psychiatric/Mental Health Nurse Practitioner
- Saint Petersburg, FL
- NPI 1982889341
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285724641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "941 LIVE OAK AVE NE",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337033178",
"telephone_number": "727-526-6699",
"fax_number": "866-469-3880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535 CENTRAL AVE STE 316",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337013703",
"telephone_number": "727-526-6699",
"fax_number": "866-469-3880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FALK",
"first_name": "ANTOINETTE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME58941",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "12515",
"state": "FL"
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.