NPIMap

Organization Active NPI

Carative Psychiatry PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • St Petersburg, FL
National Provider Identifier
1437745874
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
CARATIVE PSYCHIATRY PLLC
Practice address
7901 4TH St N Ste 300
St Petersburg, FL 33702-4399
Phone
(843) 474-5578
Fax
(843) 790-1871
NPI assigned
Dec 20, 2020
Last updated
Sep 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Authorized official

Name
Ashley Cyronak, MSN, APRN, FNP-C, PMNPI 1639542749
Title
Owner
Phone
(843) 474-5578

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
Psychiatric/Mental Health Nurse Practitioner 363LP0808X Primary

Addresses

Primary practice location

7901 4TH St N Ste 300
St Petersburg, FL 33702-4399

Mailing address

7901 4TH St N Ste 300
St Petersburg, FL 33702-4399
Phone (843) 474-5578

Other practice location 1

2309 Noriega St Ste 888
San Francisco, CA 94122-4239
Phone (843) 474-5578

Other practice location 2

5305 River Rd N Ste B
Keizer, OR 97303-5324
Phone (843) 474-5578

Other practice location 3

8825 N 23rd Ave Ste 100
Phoenix, AZ 85021-4148
Phone (843) 474-5578

Other practice location 4

821 N St Ste 102
Anchorage, AK 99501-3285
Phone (843) 474-5578

Other practice location 5

522 W Riverside Ave Ste 4390
Spokane, WA 99201-0580
Phone (843) 474-5578

Other practice location 6

1942 Broadway Ste 414C
Boulder, CO 80302-5213
Phone (843) 474-5578

Other practice location 7

300 E Lombard St Ste 840
Baltimore, MD 21202-3231
Phone (843) 474-5578

Other practice location 8

82 Wendell Ave Ste 100
Pittsfield, MA 01201-7066
Phone (843) 474-5578

Other identifiers 3

IdentifierTypeStateIssuer
LYI4LOtherFLBCBS
601542919OtherMAGELLAN
6211141OtherAETNA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@carativepsych.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, KY, NV, SC, NY5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
O20230914000373 AL Part B Supplier - Clinic/Group Practice 0840654554 Receives reassigned benefits from 1 practitioner
Practice locations: Prattville, AL
O20260112000048 KY Part B Supplier - Clinic/Group Practice 0840654554 Receives reassigned benefits from 1 practitioner
Practice locations: Irvine, KY
O20260203002256 NV Part B Supplier - Clinic/Group Practice 0840654554 Practice locations: Las Vegas, NV
O20260225001682 SC Part B Supplier - Clinic/Group Practice 0840654554 Practice locations: Hanahan, SC
O20260424003202 NY Part B Supplier - Clinic/Group Practice 0840654554 Receives reassigned benefits from 1 practitioner
Practice locations: Albany, NY

National Provider Directory

National Provider Directory

Locations

1942 Broadway
Ste 414C
Boulder, CO 80302

522 W Riverside Ave
Ste 4390
Spokane, WA 99201

Interoperability endpoints

  • Direct secure messaging: info@carativepsych.com

Practitioners & affiliated clinicians

Practitioners 27

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.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1608422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695600000000",
    "number": "1437745874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 4TH ST N STE 300",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337024399",
            "telephone_number": "843-474-5578",
            "fax_number": "843-790-1857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 4TH ST N STE 300",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337024399",
            "telephone_number": "843-474-5578",
            "fax_number": "843-790-1871"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2309 Noriega St Ste 888",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941224239",
            "country_code": "US",
            "telephone_number": "843-474-5578",
            "fax_number": "843-790-1871",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5305 River Rd N Ste B",
            "address_purpose": "LOCATION",
            "city": "Keizer",
            "state": "OR",
            "postal_code": "973035324",
            "country_code": "US",
            "telephone_number": "843-474-5578",
            "fax_number": "843-790-1871",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8825 N 23rd Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850214148",
            "country_code": "US",
            "telephone_number": "843-474-5578",
            "fax_number": "843-790-1871",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "821 N St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995013285",
            "country_code": "US",
            "telephone_number": "843-474-5578",
            "fax_number": "843-790-1871",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "522 W Riverside Ave Ste 4390",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992010580",
            "country_code": "US",
            "telephone_number": "843-474-5578",
            "fax_number": "843-790-1871",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1942 Broadway Ste 414C",
            "address_purpose": "LOCATION",
            "city": "Boulder",
            "state": "CO",
            "postal_code": "803025213",
            "country_code": "US",
            "telephone_number": "843-474-5578",
            "fax_number": "843-790-1871",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 E Lombard St Ste 840",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212023231",
            "country_code": "US",
            "telephone_number": "843-474-5578",
            "fax_number": "843-790-1871",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "82 Wendell Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Pittsfield",
            "state": "MA",
            "postal_code": "012017066",
            "country_code": "US",
            "telephone_number": "843-474-5578",
            "fax_number": "843-790-1871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CARATIVE PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-20",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A",
        "authorized_official_last_name": "CYRONAK",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-474-5578",
        "authorized_official_credential": "MSN, APRN, FNP-C, PM"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "LYI4L",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "601542919",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "6211141",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@carativepsych.com",
            "affiliation": "N",
            "endpointDescription": "Hippa compliant email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "hippa complaint email",
            "address_1": "7901 4th St N Ste 300",
            "city": "St Petersburg",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337024399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Sep 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.