Organization Active NPI

Andrea M Scremin MD LLC

  • Psychiatry Physician
  • St Petersburg, FL
National Provider Identifier
1588835540
Registry record updated Mar 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME 99350 Issued in FL
Legal business name
ANDREA M SCREMIN MD LLC
Practice address
145 5TH Ave NE
St Petersburg, FL 33701-3015
Phone
(727) 820-0505
Fax
(727) 820-9707
NPI assigned
Mar 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2008

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

Authorized official

Name
Dr. Andrea M Scremin, M.D.
Title
Psychiatrist
Phone
(727) 820-0505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X ME 99350 FL Primary

Addresses

Primary practice location

145 5TH Ave NE
St Petersburg, FL 33701-3015

Mailing address

145 5TH Ave NE
St Petersburg, FL 33701-3015
Phone (727) 820-0505

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205798400000",
    "number": "1588835540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 5TH AVE NE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337013015",
            "telephone_number": "727-820-0505",
            "fax_number": "727-820-9707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 5TH AVE NE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337013015",
            "telephone_number": "727-820-0505",
            "fax_number": "727-820-9707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREA M SCREMIN MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-18",
        "last_updated": "2008-03-18",
        "status": "A",
        "authorized_official_last_name": "SCREMIN",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "727-820-0505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME 99350",
            "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 Mar 18, 2008; 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.