NPIMap

Organization Active NPI

Daniel Fitzsimmons, PSYD LLC

  • Psychologist
  • St Petersburg, FL
National Provider Identifier
1285981951
Registry record updated Aug 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY6364 Issued in FL
Legal business name
DANIEL FITZSIMMONS, PSYD LLC
Practice address
3665 75TH St N
Saint Petersburg, FL 33710-1255
Phone
(727) 422-6945
NPI assigned
Aug 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2012

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

Authorized official

Name
Dr. Daniel Fitzsimmons, PSY.D.
Title
Psychologist
Phone
(727) 422-6945

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PY6364 FL Primary

Addresses

Primary practice location

3665 75TH St N
Saint Petersburg, FL 33710-1255

Mailing address

3665 75TH St N
Saint Petersburg, FL 33710-1255
Phone (727) 422-6945

National Provider Directory

National Provider Directory

Locations

7830 Ulmerton Rd
Largo, FL 33771
Phone (727) 535-9833

NPI Registry JSON

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

{
    "created_epoch": "1344816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344816000000",
    "number": "1285981951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3665 75TH ST N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337101255",
            "telephone_number": "727-422-6945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3665 75TH ST N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337101255",
            "telephone_number": "727-422-6945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL FITZSIMMONS, PSYD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-13",
        "last_updated": "2012-08-13",
        "status": "A",
        "authorized_official_last_name": "FITZSIMMONS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "727-422-6945",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY6364",
            "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 13, 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.