Medical Behavioral Services, PA

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME62503 Issued in FL

Legal business name

MEDICAL BEHAVIORAL SERVICES, PA

Practice address

6101 9TH St N
St Petersburg, FL 33703-1141

Phone

(727) 800-9958

Fax

(855) 552-3776

NPI assigned

Feb 3, 2017

Last updated

Feb 3, 2017By 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

Dr. Oswald Williams, MD

Title

President

Phone

(727) 800-9958

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1486080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486080000000",
    "number": "1467990028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 9TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337031141",
            "telephone_number": "727-800-9958",
            "fax_number": "855-552-3776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 9TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337031141",
            "telephone_number": "727-800-9958",
            "fax_number": "855-552-3776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL BEHAVIORAL SERVICES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-03",
        "last_updated": "2017-02-03",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "OSWALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-800-9958",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME62503",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME62503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2017; 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.