Organization Active NPI

Tampa Bay Psychology Associates

  • Clinical Psychologist
  • Clearwater, FL
National Provider Identifier
1518409473
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY9648 Issued in FL
Legal business name
TAMPA BAY PSYCHOLOGY ASSOCIATES
Practice address
111 N Belcher Rd
Suite 100
Clearwater, FL 33765
Phone
(954) 792-0772
NPI assigned
Nov 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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

Authorized official

Name
Dr. Brandy Benson, PSY D
Title
Owner/Licensed Psychologist
Phone
(954) 527-7240

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PY9648 FL Primary

Addresses

Primary practice location

111 N Belcher Rd
Suite 100
Clearwater, FL 33765

Mailing address

111 N Belcher Rd
Suite 100
Clearwater, FL 33765
Phone (954) 547-7240

National Provider Directory

National Provider Directory

Locations

111 N Belcher Rd
Ste 100
Clearwater, FL 33765
Phone (727) 648-2725

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1478649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1518409473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N BELCHER RD",
            "address_2": "SUITE 100",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "33765",
            "telephone_number": "954-547-7240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N BELCHER RD",
            "address_2": "SUITE 100",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "33765",
            "telephone_number": "954-792-0772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMPA BAY PSYCHOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-09",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "BENSON",
        "authorized_official_first_name": "BRANDY",
        "authorized_official_title_or_position": "OWNER/LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "954-527-7240",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY9648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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.