Individual provider Active NPI

Paula Jean Maness, PSY.D.

  • Psychologist
  • Bradenton, FL
National Provider Identifier
1437312097
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY64668 Issued in FL
Practice address
101 Riverfront Blvd Ste 710
Bradenton, FL 34205-8812
Phone
(941) 776-4000
NPI assigned
Jul 3, 2008
Last updated
May 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY23787 CA
Psychologist 103T00000X PY64668 FL Primary
Clinical Psychologist 103TC0700X PSY23787 CA

Addresses

Primary practice location

101 Riverfront Blvd Ste 710
Bradenton, FL 34205-8812

Mailing address

6223 Highway 90 Ste 282
Milton, FL 32570-1705
Phone (866) 441-6200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230419001768 FL Practitioner - Clinical Psychologist 6406150465 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6223 Hwy 90
Suite 282
Milton, FL 32570-1705
Phone (866) 441-6002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PY64668FLMDPsychologist
PSY23787CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
My Therapy Partner, Inc Clinical CurrentSince Jan 8, 2024 Accepting new patients
MCR Health, Inc. CurrentSince Apr 5, 2023 Accepting new patients
MCR Health, Inc. CurrentSince Apr 5, 2023 Accepting new patients

Locations

101 Riverfront Blvd
Ste 710
Bradenton, FL 34205

6223 Highway 90
Milton, FL 32570
Phone (619) 251-1818

12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1437312097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6223 HIGHWAY 90 STE 282",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325701705",
            "telephone_number": "866-441-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 RIVERFRONT BLVD STE 710",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342058812",
            "telephone_number": "941-776-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANESS",
        "first_name": "PAULA",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-03",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY23787",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY64668",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY23787",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.