Organization Active NPI

Angela McBride PHD PA

  • Clinical Psychologist
  • Tampa, FL
National Provider Identifier
1295908010
Registry record updated Feb 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY6803 Issued in FL
Legal business name
ANGELA MCBRIDE PHD PA
Practice address
2602 W Cypress St
Tampa, FL 33609-1723
Phone
(813) 350-9333
Fax
(813) 350-9666
NPI assigned
Apr 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2009

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

Authorized official

Name
Dr. Angela M McBride, PHD
Title
President
Phone
(813) 760-6709

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103G00000X PY6803 FL
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X PY6803 FL Primary

Addresses

Primary practice location

2602 W Cypress St
Tampa, FL 33609-1723

Mailing address

2602 W Cypress St
Tampa, FL 33609-1723
Phone (813) 350-9333

National Provider Directory

National Provider Directory

Locations

2602 W Cypress St
Tampa, FL 33609
Phone (813) 350-9333

Practitioners & affiliated clinicians

Practitioners 1

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": "1208044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233532800000",
    "number": "1295908010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2602 W CYPRESS ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336091723",
            "telephone_number": "813-350-9333",
            "fax_number": "813-350-9666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2602 W CYPRESS ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336091723",
            "telephone_number": "813-350-9333",
            "fax_number": "813-350-9666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELA MCBRIDE PHD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-13",
        "last_updated": "2009-02-02",
        "status": "A",
        "authorized_official_last_name": "MCBRIDE",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-760-6709",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY6803",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY6803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 2, 2009; 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.