NPIMap

Organization Active NPI

Total Person Psychological Associates PA

  • Psychologist
  • St Petersburg, FL
National Provider Identifier
1487989034
Registry record updated Dec 3, 2010
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Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY7984 Issued in FL
Legal business name
TOTAL PERSON PSYCHOLOGICAL ASSOCIATES PA
Practice address
6739 1St Avenue South
St Petersburg, FL 33707-0000
Phone
(727) 412-8003
Fax
(866) 469-3880
NPI assigned
Oct 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2010

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

Authorized official

Name
Lynnette D Mackenzie, PSYD
Title
Owner/Authorized Official
Phone
(727) 412-8003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PY7984 FL Primary

Addresses

Primary practice location

6739 1St Avenue South
St Petersburg, FL 33707-0000

Mailing address

9309 Blind Pass Road
St Pete Beach, FL 33706
Phone (727) 412-8003

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1255478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291334400000",
    "number": "1487989034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9309 BLIND PASS ROAD",
            "city": "ST PETE BEACH",
            "state": "FL",
            "postal_code": "33706",
            "telephone_number": "727-412-8003",
            "fax_number": "866-469-3880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6739 1ST AVENUE SOUTH",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337070000",
            "telephone_number": "727-412-8003",
            "fax_number": "866-469-3880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL PERSON PSYCHOLOGICAL ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-14",
        "last_updated": "2010-12-03",
        "status": "A",
        "authorized_official_last_name": "MACKENZIE",
        "authorized_official_first_name": "LYNNETTE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "727-412-8003",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY7984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Dec 3, 2010; 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.