MD Support, LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

MD SUPPORT, LLC

Practice address

1110 Pinellas Bayway S Ste 102
Saint Petersburg, FL 33715-1506

Phone

(813) 567-5675

NPI assigned

May 6, 2020

Organization subpart

No

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

Authorized official

Name

Rachel McKenna, MDNPI 1588893614

Title

Owner

Phone

(727) 999-2750

Specialties & licenses 3

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rachel Lee McKenna, MD

  • Child & Adolescent Psychiatry Physician
  • St Petersburg, FL
  • NPI 1588893614
  NPD Authorized official
• Alison Larson, D.O.

  • Psychiatry Physician
  • Gainesville, FL
  • NPI 1821478561
  NPD (past)

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

{
    "created_epoch": "1588723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588723200000",
    "number": "1427670959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 PINELLAS BAYWAY S STE 102",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337151506",
            "telephone_number": "813-567-5675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 PINELLAS BAYWAY S STE 102",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337151506",
            "telephone_number": "813-567-5675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD SUPPORT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-06",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A",
        "authorized_official_last_name": "MCKENNA",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-999-2750",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Freddie L McRae, MD
• Louise Frazee Black McRee, P.T.
• Daniel B McSherry, DMD
• Adriana McVey, KU
• Elizabeth Ann McWilliams
• MDS Saint Petersburg PLLC
• Mark Anthony Meabe, PA-C
• Med-Trans Corporation
• Medaccess RX LLC
• Julie Meddaugh, LMHC

• Psychiatry Physician in Saint Petersburg, FL
• Providers in Saint Petersburg, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2020; 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.