Organization Active NPI

Pawsitive Psychiatry, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Venice, FL
National Provider Identifier
1447905658
Registry record updated Mar 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
PAWSITIVE PSYCHIATRY, LLC
Doing business as
Pawsitive Psychiatry, LLC
Practice address
20394 Galileo PL
Venice, FL 34293-1579
Phone
(941) 265-8306
Fax
(941) 462-1864
NPI assigned
Feb 16, 2022
Last updated
Mar 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2022

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

Authorized official

Name
Denise White, APRN
Title
Pmhnp-BC
Phone
(941) 525-2766

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Multi-Specialty Clinic/Center 261QM1300X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

20394 Galileo PL
Venice, FL 34293-1579

Mailing address

350 W Venice Ave
Venice, FL 34285-0001
Phone (941) 265-8306

Other identifiers 1

IdentifierTypeStateIssuer
1477624294MedicaidMA

Other names 1

  • Pawsitive Psychiatry, LLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address denisewhite@pawsitivepsychiatry.com Other

National Provider Directory

National Provider Directory

Locations

350 W Venice Ave
Venice, FL 34285

NPI Registry JSON

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

{
    "created_epoch": "1644969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646524800000",
    "number": "1447905658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 W VENICE AVE",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342850001",
            "telephone_number": "941-265-8306",
            "fax_number": "941-462-1864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20394 GALILEO PL",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342931579",
            "telephone_number": "941-265-8306",
            "fax_number": "941-462-1864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAWSITIVE PSYCHIATRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-16",
        "last_updated": "2022-03-06",
        "certification_date": "2022-03-06",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "PMHNP-BC",
        "authorized_official_telephone_number": "941-525-2766",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1477624294",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "denisewhite@pawsitivepsychiatry.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "other",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other",
            "address_1": "20394 Galileo Pl",
            "city": "Venice",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342931579",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Pawsitive Psychiatry, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pawsitive Psychiatry, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Venice, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2022; 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.