Individual provider Active NPI

Allen Lindsay, PH.D

  • Clinical Neuropsychologist
  • St Pete Beach, FL
National Provider Identifier
1508923343
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PY5315 Issued in FL
Practice address
100 Corey Ave
St Pete Beach, FL 33706-1814
Phone
(727) 341-1402
Fax
(727) 470-2634
NPI assigned
Jan 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY5315 FL
Clinical Neuropsychologist 103G00000X PY5315 FL Primary

Addresses

Primary practice location

100 Corey Ave
St Pete Beach, FL 33706-1814

Mailing address

100 Corey Ave
St Pete Beach, FL 33706-1814
Phone (727) 341-1402

Other identifiers 2

IdentifierTypeStateIssuer
59797OtherFLBLUE CROSS
240073OtherFLUNITED BEHAVIORAL HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201002002151 FL Practitioner - Clinical Psychologist 2062544612 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
University of New Mexico School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

100 Corey Ave
St Pete Beach, FL 33706-1814
Phone (727) 341-1402

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY5315FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Allen Lindsay, PH.D, PA Clinical CurrentSince Sep 15, 2010 Accepting new patients
Syed K Zaidi MD PA Past Accepting new patients
Tampa Bay Psychology, PA Psychologist PastSince Sep 15, 2010 Accepting new patients

Locations

1609 Pasadena Ave S
Ste 4M
South Pasadena, FL 33707
Phone (727) 341-1402

100 Corey Ave
St Pete Beach, FL 33706
Phone (727) 341-1402

Networks

  • Freedom Health HMO Network

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1508923343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 COREY AVE",
            "city": "ST PETE BEACH",
            "state": "FL",
            "postal_code": "337061814",
            "telephone_number": "727-341-1402",
            "fax_number": "727-376-6784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 COREY AVE",
            "city": "ST PETE BEACH",
            "state": "FL",
            "postal_code": "337061814",
            "telephone_number": "727-341-1402",
            "fax_number": "727-470-2634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDSAY",
        "first_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY5315",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY5315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "59797",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "240073",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Pete Beach, FL

Sources for this page

Verify at the official NPI Registry.