Organization Active NPI

Positive Transformations PA

  • Clinical Psychologist
  • Riverview, FL
National Provider Identifier
1417373242
Registry record updated Mar 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY 8912 Issued in FL
Legal business name
POSITIVE TRANSFORMATIONS PA
Practice address
10021 Water Works LN
Riverview, FL 33578-5304
Phone
(813) 677-6444
Fax
(813) 677-7999
NPI assigned
Mar 18, 2014
Last updated
Mar 18, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2014

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

Authorized official

Name
Dr. Andrea Christine Thatcher, PSY.D.NPI 1639508807
Title
Licensed Psychologist
Phone
(813) 677-6444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY 8912 FL Primary

Addresses

Primary practice location

10021 Water Works LN
Riverview, FL 33578-5304

Mailing address

10021 Water Works LN
Riverview, FL 33578-5304
Phone (813) 677-6444

National Provider Directory

National Provider Directory

Locations

3401 W Cypress St
Ste 206
Tampa, FL 33607
Phone (813) 677-6444

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": "1395100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395100800000",
    "number": "1417373242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10021 WATER WORKS LN",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335785304",
            "telephone_number": "813-677-6444",
            "fax_number": "813-677-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10021 WATER WORKS LN",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335785304",
            "telephone_number": "813-677-6444",
            "fax_number": "813-677-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVE TRANSFORMATIONS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-18",
        "last_updated": "2014-03-18",
        "status": "A",
        "authorized_official_last_name": "THATCHER",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "813-677-6444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY 8912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; 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.