Organization Active NPI

Psych 2 U PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • St Petersburg, FL
National Provider Identifier
1497789424
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
3027792 Issued in FL
Legal business name
PSYCH 2 U PLLC
Practice address
7945 1St Ave S
St Petersburg, FL 33707-1019
Phone
(727) 214-7079
Fax
(954) 245-3143
NPI assigned
Jul 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Reba Elaine Shoenfelt, ARNP
Title
Member Manager
Phone
(727) 214-7079

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 3027792 FL Primary

Addresses

Primary practice location

7945 1St Ave S
St Petersburg, FL 33707-1019

Mailing address

7945 1St Ave S
St Petersburg, FL 33707-1019
Phone (727) 214-7079

Other identifiers 1

IdentifierTypeStateIssuer
L06000021570OtherFLASSIGNED DOCUMENT NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497789424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7945 1ST AVE S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337071019",
            "telephone_number": "727-214-7079",
            "fax_number": "954-245-3143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7945 1ST AVE S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337071019",
            "telephone_number": "727-214-7079",
            "fax_number": "954-245-3143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCH 2 U PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHOENFELT",
        "authorized_official_first_name": "REBA",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "727-214-7079",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "3027792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASSIGNED DOCUMENT NUMBER",
            "identifier": "L06000021570",
            "state": "FL"
        }
    ],
    "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 Aug 22, 2020; 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.