Bay Area Psychological Services LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

BAY AREA PSYCHOLOGICAL SERVICES LLC

Practice address

13104 Cimarron Cir N
Largo, FL 33774-4114

Phone

(727) 835-8131

NPI assigned

Jul 21, 2021

Last updated

Jul 21, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carita R Shawchuck, PHDNPI 1093757791

Title

President

Phone

(727) 835-8131

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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.

• Carita R Shawchuck, PHD

  • Clinical Psychologist
  • Largo, FL
  • NPI 1093757791
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1626825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626825600000",
    "number": "1457924094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13104 CIMARRON CIR N",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337744114",
            "telephone_number": "727-835-8131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13104 CIMARRON CIR N",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337744114",
            "telephone_number": "727-835-8131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AREA PSYCHOLOGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-21",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A",
        "authorized_official_last_name": "SHAWCHUCK",
        "authorized_official_first_name": "CARITA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-835-8131",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bay Area Chiropractic Inc
• Bay Area Emergency Physicians LLC
• Bay Area Emergency Physicians Urgent Care LLC
• Bay Area Ipa, LLC (Citrus Park Medical Care)
• Bay Area Professional Anesthesia LLC
• Bay Center for Oral & Implant Surgery, P.a. (Bay Center for Oral & Implant Surgery)
• Bay Center for Pain Management PA
• Bay Pediatrics PA
• Bay Pines VA Hospital
• Baycare Ambulatory Services (BayCare Outreach Laboratory Services)

• Multi-Specialty Clinic/Center in Largo, FL
• Providers in Largo, FL by specialty
• Multi-Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; 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.